=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518382639
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOCELYN S SAGRATI LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2014
-----------------------------------------------------
Last Update Date | 08/15/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7209 LANCASTER PIKE STE 4-326
-----------------------------------------------------
City | HOCKESSIN
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19707-9292
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-771-8984
-----------------------------------------------------
Fax | 302-234-1777
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7209 LANCASTER PIKE STE 4-326
-----------------------------------------------------
City | HOCKESSIN
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19707-9292
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-771-8984
-----------------------------------------------------
Fax | 302-234-1777
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | CW018021
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | Q10001279
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------