Provider Demographics
NPI:1790844538
Name:AGOGLIA, BARBARA SUE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:SUE
Last Name:AGOGLIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:SUE
Other - Last Name:AGOGLIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:2 THORN ST
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-1239
Mailing Address - Country:US
Mailing Address - Phone:607-432-5472
Mailing Address - Fax:607-433-0209
Practice Address - Street 1:75 MARKET ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2515
Practice Address - Country:US
Practice Address - Phone:607-433-0209
Practice Address - Fax:607-433-0209
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-040498-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY618225OtherMVP
NY7345839OtherVALUE OPTIONS