Organization · NPI-2

Agewise De LLC

Social Worker, Clinical · Wilmington, DE

NPI number1720945785
StatusActive
Last updated in NPPESJan 9, 2026

Details

NPI
1720945785
Entity type
Organization (NPI-2)
Legal business name
Agewise De LLC
Organization subpart
No
Enumeration date
Jan 9, 2026
Certification date
Jan 6, 2026
Last updated
Jan 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

2313 Concord Pike
Wilmington, DE 19803-2911

Phone 912-266-0289

Mailing address

1817 N Lincoln St
Wilmington, DE 19806-2311

Authorized official

Laura Dickol
Clinical Social Worker
9122660289

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