Jourdain Bagby, LMSW – Clinical Social Worker

Key facts

NPI: 1184435448
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 2024043480 (MO)
Practice address: 1701 Townsend St
Cassville, MO 65625-1451
Phone: (417) 476-1000
NPI assigned: Jan 16, 2025
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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

Clark Community Mental Health Center Community/Behavioral Health Agency · Monett, MO · NPI 1801807771

NPD

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
2024043480	MO	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Clark Community Mental Health Center		Current since Jan 19, 2025	Accepting new patients

Locations

1701 Townsend St
Cassville, MO 65625
Phone (417) 671-8075

1701 N Central Ave
Monett, MO 65708
Phone (417) 235-6610

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	2024043480	MO	Yes

Addresses

Primary practice location

1701 Townsend St
Cassville, MO 65625-1451

Mailing address

PO Box 100
Pierce City, MO 65723-2100
Phone (417) 476-1013

Other providers in Cassville, MO

All providers in Cassville, MO · Clinical Social Worker in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. 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.

Verify at the official NPI Registry.