Gia Bagnoli-Brown, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2405446 Issued in OH

Practice address

45875 Bell School Rd Ste B
East Liverpool, OH 43920-8728

Phone

(330) 397-6007

Fax

(234) 254-5655

NPI assigned

Jan 26, 2018

Last updated

May 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Insight Clinical Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Liverpool, OH
  • NPI 1992431043
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  OH

  Medicare reassignment NPD
• Psycare, Inc.

  • Community/Behavioral Health Agency
  • Struthers, OH
  • NPI 1104462589
  NPD

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1093213803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 BELMONT AVE STE C",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051836",
            "telephone_number": "330-759-0276",
            "fax_number": "330-759-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45875 BELL SCHOOL RD STE B",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208728",
            "telephone_number": "330-397-6007",
            "fax_number": "234-254-5655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Youngstown Poland Rd",
            "address_purpose": "LOCATION",
            "city": "Struthers",
            "state": "OH",
            "postal_code": "444711103",
            "country_code": "US",
            "telephone_number": "330-318-3078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGNOLI-BROWN",
        "first_name": "GIA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1802862",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405446",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assisted Living Ministry Services
• Association of Specialty Physicians, Inc.
• Angela Austin, LPCC
• Ghulam Rabbani Aziz, M.D.
• Back 2 Health of the Ohio Valley Inc
• Angelica Banks, CDCA
• Grace Evangeline Baratam, MD
• Lorraine Barnard
• Michela Barnard
• Brody Michael Barnhart

• Clinical Social Worker in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.