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NPI Code Detail

MEDICARE: BRENT A VARGO LCSW

MEDICARE: BRENT A VARGO LCSW
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
11041C0700XClinical Social WorkerCW024881PA

General Provider Information

NPI Number : 1053159988
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENT A VARGO LCSW
Provider Business Mailing Address
First Line : 1202 STATE ST
Second Line :
City : ERIE
State : PA
Zip : 16501-1914
Country : US
Telephone Number : 814-454-4530
Fax Number : 814-453-4857
Provider Business Practice Location Address
First Line : 1202 STATE ST
Second Line :
City : ERIE
State : PA
Zip : 16501-1914
Country : US
Telephone Number : 814-455-7222
Fax Number : 814-453-4857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2024
Last Update Date : 02/20/2026

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Directions to “ BRENT A VARGO LCSW” Practice Location

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