Andrew Christopher Bako

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904017534 Issued in VA

Practice address

100 Concourse Blvd Ste 111
Glen Allen, VA 23059-5642

Phone

(804) 374-9484

NPI assigned

Oct 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Golay Health Ventures LLC

  • Mental Health Counselor
  • Glen Allen, VA
  • NPI 1760198238
  NPD (past)

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1669293544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CONCOURSE BLVD STE 111",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CONCOURSE BLVD STE 111",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595642",
            "telephone_number": "804-374-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKO",
        "first_name": "ANDREW",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majd Babik
• Maria C Bailey
• Shavon L Bailey, LPC
• Kellye Baker, DNP, PMHNP-BC
• Reginia M Baker
• Stacie Lynn Baldwin, OTR/L
• Ballou Physiotherapy and Performance
• Mary Ellen Cox Bandy, RPH
• Suman Kumar Banerjee, MD
• Sonia Sophie Bapoungue

• Clinical Social Worker in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.