Jessica Rene' Bagneris

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112080 Issued in TX

Practice address

3100 Richmond Ave Ste 307
Houston, TX 77098-3015

Phone

(281) 766-0836

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Center for Partnership and Peace

  • Clinical Social Worker
  • Houston, TX
  • NPI 1043910086
  NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1457112641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 RICHMOND AVE STE 307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RICHMOND AVE STE 307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983015",
            "telephone_number": "281-766-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNERIS",
        "first_name": "JESSICA",
        "middle_name": "RENE'",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14093",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "112080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Baghaei
• Ayda Baghaie, PA-C
• Aidin Baghbanioskouei, MD
• Ariana Bagheri, DDS
• Faran Bagley, NNP
• Lauren Elizabeth Bagneris, MD, MPH
• Jesus Andrew Bagos, CRNA
• George E Bagwell, DDS
• Latoya C Bagwell, DPT
• Robert T. Bagwell, MD

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.