Jenna Agbaje, LICSW
Social Worker, Clinical in Omaha, NE. Individual provider (NPI-1).
NPI number1932582616
StatusActive
Last updated in NPPESMar 7, 2022
Details
- NPI
- 1932582616
- Entity type
- Individual (NPI-1)
- Name
- Jenna Agbaje
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2015
- Certification date
- Mar 7, 2022
- Last updated
- Mar 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1387, 1574, 4542 | NE | Yes |
Other names
- Jenna Rodis (Former Name)
Practice location
3157 Farnam StSuite 7104 #7278
Omaha, NE 68131
Phone 531-222-7861
Mailing address
3157 Farnam StSuite 7104 #7278
Omaha, NE 68131
Phone 531-222-7861
Other practice locations
9600 Veterans Dr Sw
Tacoma, WA 98493-0003
Tacoma, WA 98493-0003
Phone 253-583-2826
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