Organization Active NPI

Barbara Nagel, LCSW

  • Adolescent and Children Mental Health Clinic/Center
  • Media, PA
National Provider Identifier
1821326653
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
CW012270 Issued in PA
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Mrs. Barbara Whitney Nagel, LCSWNPI 1255489365
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101008768 0001MedicaidPA
276060000OtherPAMAGELLAN
2112771000OtherINDEPENDENCE BLUE CROSS
398267OtherMHN/TRICARE
7968378OtherPAAETNA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.