AGUNYENWA I NNOLI (NPI# 1417446949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417446949 |
| Entity Type | Individual |
| Full Name | AGUNYENWA I NNOLI |
| Practice Address |
1115 W Chestnut St Brockton MA 02301-7501 |
| Practice Telephone | 5085212200 |
| Mailing Telephone | 5085212200 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026265E | 05 |
| Street Address |
1115 W CHESTNUT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912942202 | Daniel Omoayo | Social Worker | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2006-06-19 |
| 1861091647 | Brandi Danielle Pace | Developmental Therapist | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-10-22 |
| 1851905343 | James Thomas Stewart IIi | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-09-02 |
| 1336750397 | Jacqueline Grant | Social Worker | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-08-13 |
| 1821611047 | Peyton Mayzel | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-05-21 |
| 1477186658 | Rebecca Bruno | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-02-17 |
| 1255975116 | Elizabeth Mary Lawlor | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-11-04 |
| 1437790615 | Meredith Lincoln | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-30 |
| 1164073441 | Marissa Ann Bragg | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-27 |
| 1487205316 | Alexmira Andrade Monteiro | Behavior Technician | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396097796 | Erinn Dawn Grassow Grist | Social Worker | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2012-10-09 |
| 1174870380 | Julissa Medina | Social Worker | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2012-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578911 | Samantha Bridge | Social Worker | 26 Regina Rd, Lynn, MA 01904-1019 | 2020-11-03 |
| 1922623867 | Margaret Ann Mulcahy | Social Worker | 32 Hidden Cv, Plymouth, MA 02360-6629 | 2020-06-16 |
| 1558997023 | Elaine Garcia | Social Worker | 525 Essex St Apt 205, Lawrence, MA 01840-1241 | 2020-03-17 |
| 1821643743 | Linda Toussaint | Social Worker | 34 Nye St, Springfield, MA 01104-2312 | 2019-08-07 |
| 1922567031 | Valerie Patricia Moriceau | Social Worker | 111 Robbins Rd, Walpole, MA 02081-1940 | 2019-03-18 |
| 1538623103 | Sarah K Hiebert | Social Worker | 50 Beechcroft St, Brighton, MA 02135-2519 | 2019-01-28 |
| 1225502818 | Anna Greenberg | Social Worker | Framingham High School, 115 A St., Framingham, MA 01701 | 2019-01-16 |
| 1265905731 | Catherine Mary Horkan | Social Worker | 50 Lanark Rd, Malden, MA 02148-1609 | 2019-01-08 |
| 1689147480 | Carol Connery | Social Worker | 837 Longmeadow St, Longmeadow, MA 01106-2218 | 2019-01-04 |
| 1982176111 | Nicole Maire Shepardson | Social Worker | 50 Bushey Rd, Pittsfield, MA 01201-4405 | 2018-12-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.