Madallyn Warner Bagley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34008629A Issued in IN

Practice address

390 N Madison Ave
Greenwood, IN 46142-2300

Phone

(317) 779-7574

Fax

(317) 215-5766

NPI assigned

Sep 4, 2019

Last updated

Feb 16, 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 1

Addresses

Other names 1

• Madallyn Warner Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

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.

• Rebecca Waletich LCSW LLC

  dba Transformations Counseling Services

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1063884617
  Medicare reassignment NPD

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1376191270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N MADISON AVE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461422300",
            "telephone_number": "317-779-7574",
            "fax_number": "317-215-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N MADISON AVE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461422300",
            "telephone_number": "317-779-7574",
            "fax_number": "317-215-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER BAGLEY",
        "first_name": "MADALLYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008629A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADALLYN",
            "last_name": "WARNER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ehab Wanas, M.D.
• Makayla Warbinton
• Cammy Ward
• Hussein Ahmed Warda, MD
• Samantha Wargel, DDS
• Warner Eyecare, LLC
• Aaron M Warner, O.D.
• Ruth Warner, R.N.
• Paul Michael Warney, PHARMD
• Warnock Foot and Ankle Center LLC

• Clinical Social Worker in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Clinical Social Worker in Indiana

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