Andrea Bagaglio, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2013040997 Issued in MO

Practice address

1005 Waterford Dr
Florissant, MO 63033-3649

Phone

(314) 506-9207

NPI assigned

Sep 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1720456015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 WOODLAND DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631172148",
            "telephone_number": "618-781-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 WATERFORD DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333649",
            "telephone_number": "314-506-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGAGLIO",
        "first_name": "ANDREA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MO",
            "license": "2013040997",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013040997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back & Neck Care Center of North County LLC
• Back Experts, LLC
• Alex Baer, MSW,LMSW
• Michael Baer
• Michael Richard Baer, M.A.
• Kevin Baker
• Latonya Tranee Baker
• Maddison Baker, PA-C
• Marcus William Baker, RPH
• Barbara Ballard, NCC,LPC

• Clinical Social Worker in Florissant, MO
• Providers in Florissant, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.