Active NPI
Barbara Nagel, LCSW
- Adolescent and Children Mental Health Clinic/Center
- Media, PA
National Provider Identifier
1821326653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- CW012270
- Legal business name
- BARBARA NAGEL, LCSW
- Practice address
- 205 N Monroe St
Media, PA 19063-3052 - Phone
- (610) 541-0630
- Fax
- (610) 541-0630
- NPI assigned
- Dec 7, 2009
- Last updated
- Dec 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Whitney Nagel, LCSW
- Title
- Owner
- Phone
- (610) 541-0630
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | CW012270 | PA | Primary |
Addresses
Primary practice location
205 N Monroe St
Media, PA 19063-3052
Mailing address
49 Amherst Ave
Swarthmore, PA 19081-1613
Phone (610) 541-0630
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101008768 0001 | Medicaid | PA | |
| 276060000 | Other | PA | MAGELLAN |
| 2112771000 | Other | INDEPENDENCE BLUE CROSS | |
| 398267 | Other | MHN/TRICARE | |
| 7968378 | Other | PA | AETNA |
National Provider Directory
National Provider DirectoryLocations
205 N Monroe St
Media, PA 19063
Phone (484) 802-1296
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Media, PA
- NPI 1255489365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260144000000",
"number": "1821326653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 AMHERST AVE",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190811613",
"telephone_number": "610-541-0630",
"fax_number": "610-541-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N MONROE ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633052",
"telephone_number": "610-541-0630",
"fax_number": "610-541-0630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARBARA NAGEL, LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-07",
"last_updated": "2009-12-07",
"status": "A",
"authorized_official_last_name": "NAGEL",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "WHITNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-541-0630",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "PA",
"license": "CW012270",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101008768 0001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "276060000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2112771000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN/TRICARE",
"identifier": "398267",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7968378",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.