Bethany Cheryl Bagnell, BSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

125 Market St
Apt. 242
Manassas Park, VA 20111-3212

Phone

(703) 585-3040

NPI assigned

Jun 18, 2014

Last updated

Jun 18, 2014By 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

• Bethany Cheryl Friedman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1508270489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MARKET ST",
            "address_2": "APT. 242",
            "city": "MANASSAS PARK",
            "state": "VA",
            "postal_code": "201113212",
            "telephone_number": "703-585-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MARKET ST",
            "address_2": "APT. 242",
            "city": "MANASSAS PARK",
            "state": "VA",
            "postal_code": "201113212",
            "telephone_number": "703-585-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNELL",
        "first_name": "BETHANY",
        "middle_name": "CHERYL",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "FRIEDMAN",
            "middle_name": "CHERYL",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Manassas Park, VA
• Providers in Manassas Park, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.