Mayra Schlobach Bagnoli, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2820 Rio Claro Dr N
Wellington, FL 33414-3455

Phone

(561) 635-2431

NPI assigned

Jan 23, 2012

Last updated

Jun 24, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 15, 2020 through Jul 15, 2028

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Change & Growth Therapy Center

  • Clinical Social Worker
  • Lake Worth, FL
  • NPI 1760914931
  Authorized official Same address or phone

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1689945636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 RIO CLARO DR N",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143455",
            "telephone_number": "561-635-2431",
            "fax_number": "866-834-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 RIO CLARO DR N",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143455",
            "telephone_number": "561-635-2431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 LAKE WORTH RD",
            "address_2": "STE 202",
            "address_purpose": "LOCATION",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672400",
            "country_code": "US",
            "telephone_number": "772-597-0411",
            "fax_number": "772-597-0412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGNOLI",
        "first_name": "MAYRA",
        "middle_name": "SCHLOBACH",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose L Baca, ARNP
• Mileidis Bada Martinez
• Roshan Bagga, MD, BSC.
• Shama Baghana
• Jorge Ibrahim Baghdan, ARNP
• Mariaclara E Bago, DO
• Christopher Michael Baird, LMHC
• Jeanna M Baker, ARNP
• Balanced Counseling, LLC
• Duccio Baldari, MD

• Social Worker in Wellington, FL
• Providers in Wellington, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.