Jenna L Bagnini, LMSW
Individual provider Active NPI Social Worker · Mount Kisco, NY
NPI 1104416809 · NPPES record last updated Jan 26, 2021
Key facts
- NPI
- 1104416809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 108810-01 (NY)
- Practice address
- 25 Pineview Rd
Mount Kisco, NY 10549-3935 - Phone
- (917) 683-9194
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108810-01 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 108810-01 | NY | Yes |
Addresses
Primary practice location
25 Pineview Rd
Mount Kisco, NY 10549-3935
Mailing address
25 Pineview Rd
Mount Kisco, NY 10549-3935
Phone (917) 683-9194
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108810-01 | Other | NY | REGISTRATION CERTIFICATE |
Other providers in Mount Kisco, NY
- Sateesh Babu
- Back to Health PT LLC
- Max Abraham Bader
- Barry Baer
- Kara Marie Bagni
- Jason S Baker
- Tammie Baker
- Saba Bakhtiari
- Bibi Nazima Baksh
- Herberth Balsells
All providers in Mount Kisco, NY · Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.