Jennifer Bagwell LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6366 Issued in FL

Legal business name

JENNIFER BAGWELL LLC

Practice address

4440 Pga Blvd Ste 202
Palm Beach Gardens, FL 33410-6540

Phone

(954) 465-6988

Fax

(561) 249-3709

NPI assigned

Dec 13, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer M Bagwell, LCSWNPI 1790994598

Title

Owner

Phone

(954) 465-6988

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Miller Bagwell, L.C.S.W.

  • Clinical Social Worker
  • Palm Beach Gardens, FL
  • NPI 1790994598
  NPD Authorized official

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1760997787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 LADSON TER",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677725",
            "telephone_number": "954-465-6988",
            "fax_number": "561-249-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 PGA BLVD STE 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106540",
            "telephone_number": "954-465-6988",
            "fax_number": "561-249-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BAGWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-465-6988",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey H. Garelick, MD PA
• Jeffrey L Presser MD PA
• Jeffrey R Ward MD PA
• Lafayette Ervin Jenkins, LMHC, LPHA, CAMS-3
• Dena Jenne
• Edward M Jeryan, MD
• Jessica E Harrison, LCSW
• Jetdoc, Inc.
• Rose Jeudine
• Jason Martin Jewell, D.C.

• Clinical Social Worker in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.