Provider Demographics
NPI:1124230107
Name:NAGLE, RENAE S (MSW, LCSW, CHT)
Entity Type:Individual
Prefix:MS
First Name:RENAE
Middle Name:S
Last Name:NAGLE
Suffix:
Gender:F
Credentials:MSW, LCSW, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 W LINCOLN ST APT A
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-6653
Mailing Address - Country:US
Mailing Address - Phone:224-288-8028
Mailing Address - Fax:
Practice Address - Street 1:238 W LINCOLN ST APT A
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-6653
Practice Address - Country:US
Practice Address - Phone:224-288-8028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0051131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical