Beverly Patricia Baglio

Primary specialty

Social WorkerTaxonomy code 104100000X

License

PR0233091 Issued in NY

Practice address

2800 Sweethome Rd
# 8
Amherst, NY 14228

Phone

(716) 479-5304

NPI assigned

Feb 2, 2007

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 3

Other names 1

• Beverly Polowniak 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.

• Jaffri Medical Associates L.L.C.

  • Psychiatry Physician
  • Amherst, NY
  • NPI 1962514463
  NPD (past)
• Jewish Family Services of Western New York

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo, NY
  • NPI 1932139300
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700924875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 UNDERHILL RD",
            "city": "E AURORA",
            "state": "NY",
            "postal_code": "14052",
            "telephone_number": "716-687-1198",
            "fax_number": "716-687-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SWEETHOME RD",
            "address_2": "# 8",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14228",
            "telephone_number": "716-479-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLIO",
        "first_name": "BEVERLY",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "PR0233091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025502401AN6024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000526355002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "6290294",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "POLOWNIAK",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Azzinaro, LCSWR
• Sandra J Bach, M.S., ED.
• Shelley Mae Bacon, NP
• Barbara L Baer, RN
• Karen Baetzhold, R.P.A.
• David L Bagnall, MD
• Mirza A Baig, D.O.
• Lindsey Bala
• Balanced Living Chiropractic, LLC
• Balanced Nutrition of Wny, PLLC

• All providers in Amherst, NY
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.