Susan M Bagnini, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW#PR014949 Issued in NY

Practice address

100 Oakland Ave
Port Washington, NY 11050-1842

Phone

(516) 944-8457

Fax

(516) 883-3473

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548314941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OAKLAND AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501842",
            "telephone_number": "516-944-8457",
            "fax_number": "516-883-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OAKLAND AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501842",
            "telephone_number": "516-944-8457",
            "fax_number": "516-883-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNINI",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "LCSW#PR014949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "50089",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "072575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Astrabio, Inc (Bio Science Laboratories)
• Athletic Iq LLC
• Smadar H Auerbach Barber, PHD
• Faith C Ausfresser
• Carl Bagnini, LCSW
• Dara Bain
• Nan Bakamjian, M.S., L.AC.
• Balanced Medical PLLC
• Katharine E Ballato, PNP
• Dani Baltimore

• Clinical Social Worker in Port Washington, NY
• Providers in Port Washington, 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 Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.