Bags Foundation CT Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BAGS FOUNDATION CT INC

Practice address

135 E Liberty St
Waterbury, CT 06706-1301

Phone

(203) 591-1182

Fax

(203) 591-1181

NPI assigned

Mar 25, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nakia Reddick

Title

Executive Director

Phone

(203) 591-1182

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1922568914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E LIBERTY ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061301",
            "telephone_number": "203-591-1182",
            "fax_number": "203-591-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E LIBERTY ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061301",
            "telephone_number": "203-591-1182",
            "fax_number": "203-591-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGS FOUNDATION CT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "REDDICK",
        "authorized_official_first_name": "NAKIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-591-1182"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jennifer Bach, N.P.
• Kimberly Bacik, LCSW
• Alexander J Backus, DPT
• Christina Baden, APRN
• Sarah Baden
• Saudi Rio Baguio, P.T.
• Elizabeth Marie Bailey Geib, MD
• Jhanelle Bailey
• Kemar Bailey, BA
• Cameron Bain

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.