MEDICARE: AGENCY COUNSELING & WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1093602823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGENCY COUNSELING & WELLNESS, LLC

Provider Business Mailing Address
First Line	:	2093 PHILADELPHIA PIKE # 9890
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2424
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 N MARKET ST APT 100
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19801-3041
Country	:	US
Telephone Number	:	302-544-2809
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SIOBHAN JOSEPH
Credential	:	LCSW
Telephone Number	:	302-544-2809

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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