Kathleen T. Bagby, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001807 Issued in VA

Practice address

4220 Cypress Park Dr
Suite B
Roanoke, VA 24018-8440

Phone

(540) 772-1872

Fax

(540) 772-4830

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033142179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 27TH ST SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240143307",
            "telephone_number": "540-343-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CYPRESS PARK DR",
            "address_2": "SUITE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188440",
            "telephone_number": "540-772-1872",
            "fax_number": "540-772-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGBY",
        "first_name": "KATHLEEN",
        "middle_name": "T.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Matthew Bach
• Back to Basics Family Physical Therapy PC
• Catherine Backus, MT-BC
• William R Baetz, M.D.
• Anthony William Baffoe-Bonnie, M.D.
• Robin Elizabeth Bagby, D.D.S.
• Bagla LLC (Virginia Recovery and Wellness Clinic)
• Paul Martin Bagnell, COTA/L
• Kumar D Bahl, MD
• Gurlal Singh Baidwan, D.O.

• Clinical Social Worker in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.