Individual provider Active NPI

Jean Francesca Bagnati, LCSW

  • Clinical Social Worker
  • Old Saybrook, CT
National Provider Identifier
1215520432
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.011200 Issued in CT
Practice address
381 Main St
Old Saybrook, CT 06475-2467
Phone
(203) 804-8320
NPI assigned
Feb 18, 2021
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58.011200 CT Primary

Addresses

Primary practice location

381 Main St
Old Saybrook, CT 06475-2467

Mailing address

381 Main St
Old Saybrook, CT 06475-2467
Phone (203) 804-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, CT, RI, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20260225002736 ME Practitioner - Clinical Social Worker 1355822511 Reassigns benefits to 1 organization
I20260408003635 CT Practitioner - Clinical Social Worker 1355822511 Reassigns benefits to 1 organization
I20260408003717 RI Practitioner - Clinical Social Worker 1355822511 Reassigns benefits to 1 organization
I20260430003300 MA Practitioner - Clinical Social Worker 1355822511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

146 Hayden Hill Rd
Torrington, CT 06790-2308

35 Thorpe Ave
Suite 104
Wallingford, CT 06492-1943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58.011200CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aware Recovery Care of Maine LLC CurrentSince Feb 9, 2026 Accepting new patients
Inner Peace CT Clinical Past Accepting new patients

Locations

35 Thorpe Ave
Ste 104
Wallingford, CT 06492
Phone (203) 490-4266

500 Southborough Dr
Ste 205
South Portland, ME 04106
Phone (207) 813-4167

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1215520432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752467",
            "telephone_number": "203-804-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752467",
            "telephone_number": "203-804-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNATI",
        "first_name": "JEAN",
        "middle_name": "FRANCESCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.011200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.