Patricia Grace Bagnall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R052339 Issued in NY

Practice address

250 West 57TH St.
Suite 501
New York, NY 10019

Phone

(917) 597-1486

NPI assigned

May 16, 2008

Last updated

May 16, 2008By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jewish Board of Family and Children's Services, Inc.

  dba The Jewish Board

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1760173579

  Clinical

  NPD (past)
• Modern Therapy, LLC

  • Psychologist
  • Eatontown, NJ
  • NPI 1861910747
  NPD (past)

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1356508519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 PEARL ST",
            "address_2": "APT. 6E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381609",
            "telephone_number": "917-597-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WEST 57TH ST.",
            "address_2": "SUITE 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "917-597-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNALL",
        "first_name": "PATRICIA",
        "middle_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R052339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3545037",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William H Bagley IV, M.D.
• Melissa Bagli, LMSW
• Ashley Baglieri
• Francesco Baglioni, DPT
• Ann-Marie Baglivo
• Michael Robert Bagner, MD
• Karen Bagnini II
• Maria Heidi De Los Reyes Bagongon, PT
• Rohini Bagrodia
• Carlos Francisco Baguer, PH.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.