Individual provider Active NPI

Jennifer E Bagsby, LCSW

  • Clinical Social Worker
  • Petersburg, VA
National Provider Identifier
1457599524
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006866 Issued in VA
Practice address
43 Rives Rd
Suite B
Petersburg, VA 23805-9255
Phone
(804) 732-1527
Fax
(804) 731-8210
NPI assigned
Jan 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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 0904006866 VA Primary

Addresses

Primary practice location

43 Rives Rd
Suite B
Petersburg, VA 23805-9255

Mailing address

PO Box 1997
Petersburg, VA 23805-0997
Phone (804) 732-1527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20090430000610 VA Practitioner - Clinical Social Worker 7113075128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

Practice addresses (Care Compare)

831 Grove Rd
Suite C
Midlothian, VA 23114-2666
Phone (804) 743-0960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Behavioral Health, PLLC Clinical CurrentSince Oct 14, 2024 Accepting new patients
Chesterfield Family Guidance Center Clinical CurrentSince Aug 13, 2025 Accepting new patients
Virginia South Psychiatric & Family Services PastSince Aug 26, 2002 Accepting new patients
Three Rivers Treatment Center LLC Past Accepting new patients
Central Virginia Family Psychiatry PC Past Accepting new patients
Ephratah Health Group LLC PastSince Dec 1, 2025 Accepting new patients

Locations

6500 Woodlake Village Cir
Midlothian, VA 23112
Phone (804) 823-5475

831 Grove Rd
Ste C
Midlothian, VA 23114
Phone (804) 794-6600

6504 Woodlake Village Cir
Midlothian, VA 23112
Phone (804) 601-3653

6603 Irongate Sq
North Chesterfield, VA 23234

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1457599524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1997",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238050997",
            "telephone_number": "804-732-1527",
            "fax_number": "804-732-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 RIVES RD",
            "address_2": "SUITE B",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059255",
            "telephone_number": "804-732-1527",
            "fax_number": "804-731-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGSBY",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.