Individual ProviderTheresa AgostinelliSocial WorkerBehavioral Health & Social Service ProvidersPractice Address210 W Front St, Media, PA 19063-3147(610) 656-1424PECOS EnrollmentBased on the most recent information from CMS, provider Theresa Agostinelli does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1275686701Provider TypeIndividualFull NameAgostinelli, TheresaGenderFemaleSole ProprietorNoEnumeration Date1/19/2007Last Updated3/30/2018Contact InformationPractice LocationPractice Address210 W Front St, Media, PA 19063-3147Phone(610) 656-1424FaxUnlisted FaxMailing LocationMailing Address210 W Front St, Media, PA 19063-3147Phone(610) 656-1424FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW017215Pennsylvania