Provider Type Icon

JACQUELINE BAGWELL COUNSELOR NPI 1336896034


NPI Information

NPI: 1336896034
Provider Name: JACQUELINE BAGWELL, COUNSELOR
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
255 DELAWARE AVE FL 3
BUFFALO, NY
ZIP 14202
Phone: (716) 842-0440
Get Directions

Jacqueline Bagwell, COUNSELOR is an addiction (substance use disorder) counselor in Buffalo, NY. Jacqueline Bagwell, COUNSELOR NPI is 1336896034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

255 DELAWARE AVE FL 3
BUFFALO, NY
ZIP 14202-016
Phone: (716) 842-0440

The enumeration date for this NPI number is 3/3/2022 and was last updated on 3/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.