Jennifer Miller Bagwell, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6366 Issued in FL

Practice address

4440 Pga Blvd Ste 202
Palm Beach Gardens, FL 33410

Phone

(954) 465-6988

NPI assigned

May 21, 2007

Last updated

Aug 23, 2018By 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

Other identifiers 1

Other names 1

• Ms. Jennifer Jane Miller Professional name

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total Life IncGroup PAC ID 8123433034, 113 clinicians

Wellness Counseling GroupGroup PAC ID 6204335078, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Total Life Inc.

  • Group Psychotherapy Psychologist
  • Jupiter, FL
  • NPI 1053909267
  Medicare reassignment Care Compare group NPD
• Wellness Counseling Group

  • Social Worker
  • Jupiter, FL
  • NPI 1396535373
  Medicare reassignment Care Compare group NPD
• Warrior Within

  • Clinical Social Worker
  • Lake Worth, FL
  • NPI 1154904407
  Medicare reassignment NPD
• Total Life FL PA

  dba Total Life

  • Integrative Medicine Physician
  • Potomac, MD
  • NPI 1447057286

  FL

  Medicare reassignment NPD
• Jennifer Bagwell LLC

  • Clinical Social Worker
  • Palm Beach Gardens, FL
  • NPI 1760997787
  NPD Authorized official
• Warrior Within Services

  • Mental Health Counselor
  • Lake Worth, FL
  • NPI 1598652810
  NPD

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1790994598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 PGA BLVD STE 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106540",
            "telephone_number": "954-465-6988"
        },
        {
            "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": "33410",
            "telephone_number": "954-465-6988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2611 N Riverside Dr",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330621245",
            "country_code": "US",
            "telephone_number": "954-465-6988",
            "fax_number": "954-563-5807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "JENNIFER",
        "middle_name": "MILLER",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z021X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MILLER",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melville A. Badway, R.PH., CCP
• McKayla Renee Baer
• Kristal Marie Baerga Rentas
• Esmeralda Roxanna Baez
• Nicole A Bagge, LMHC
• Michael Bahr, D.C.
• Kevin M Baier, DPT
• Joan Baijnath, MD
• Dragana Bailey, LMT
• William Joseph Bainbridge, M.D.

• 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 Aug 23, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.