Jacqueline Ann O'Connell-Bagnati, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003411 Issued in VA

Practice address

45 Pine St
1 Mdos Sgoh
Hampton, VA 23665-2025

Phone

(757) 764-6840

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jacqueline Ann O'Connell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Center for Child & Family Services Inc

  • Community/Behavioral Health Agency
  • Newport News, VA
  • NPI 1972685774
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1669535464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NEALY AVENUE",
            "address_2": "633D MEDICAL GROUP",
            "city": "JOINT BASE LANGLEY-EUSIS",
            "state": "VA",
            "postal_code": "236652040",
            "telephone_number": "757-764-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PINE ST",
            "address_2": "1 MDOS SGOH",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236652025",
            "telephone_number": "757-764-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL-BAGNATI",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW - 12020",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "O'CONNELL",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Burnice Nunnelley, KT
• Shannon Nunnery, CRNA
• Jana Nussen, MD
• Karen Harper Nyako, D.C.
• Jane Song Nzuna
• Julia O'Handley, NURSE AID
• Maritza O'Neal, RN
• Jeremiah K O'Shea, M.D.
• Mackenzie Ryann Broglie O'Shea, PHARMD
• Shayla Lanee Oaks, M.A. CFY SLP

• Clinical Social Worker in Hampton, VA
• Providers in Hampton, 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 Mar 19, 2018; 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.