JACQUELYN KATES AGINS LCSW, CT
NPI 1124608344
Social Worker - Clinical in Philadelphia, PA

Active since April 12, 2021Opted out of Medicare · through Aug 12, 2028
1910 FEDERAL ST, PHILADELPHIA, PA 19146(215) 593-4847 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacquelyn Kates Agins Lcsw, Ct NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN KATES AGINS LCSW, CT (NPI 1124608344) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW021534) and active in the NPI registry since April 2021. She has opted out of Medicare through August 12, 2028.

NPPES Registry Identity

NPI1124608344
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELYN KATES AGINSCredential: LCSW, CT
Location Address1910 FEDERAL STPhiladelphia, PA 19146-2917
Mailing Address1910 Federal StPhiladelphia, PA 19146-2917 · (215) 593-4847
Sole ProprietorYes
Enumeration DateApril 12, 2021
NPPES CertifiedApril 12, 2021
✔ NPI 1124608344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW021534
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1910 FEDERAL ST, Philadelphia, PA 19146

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacquelyn Kates Agins Lcsw, Ct has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 12, 2024 through August 12, 2028.

Opt-Out Effective DateAugust 12, 2024
Opt-Out In Effect ThroughAugust 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Agins's NPI number?

The NPI number for Jacquelyn Agins is 1124608344. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Jacquelyn Agins located?

Jacquelyn Agins practices at 1910 Federal St, Philadelphia, PA 19146. The listed phone number is (215) 593-4847.

What is Jacquelyn Agins's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacquelyn Agins enrolled in Medicare?

No. Jacquelyn Agins has opted out of Medicare through August 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jacquelyn Agins was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.