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JENNIFER BAGWELL LLC NPI 1760997787


NPI Information

NPI: 1760997787
Provider Name: JENNIFER BAGWELL LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
4440 PGA BLVD STE 202
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (954) 465-6988
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JENNIFER BAGWELL LLC is a clinical social worker in Palm Beach Gardens, FL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. JENNIFER BAGWELL LLC NPI is 1760997787. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4440 PGA BLVD STE 202
PALM BEACH GARDENS, FL
ZIP 33410-540
Phone: (954) 465-6988
Fax: (561) 249-3709

The provider's authorized official is Jennifer M Bagwell .
The authorized official title is Owner and has the following contact phone number (954) 465-6988.

The enumeration date for this NPI number is 12/13/2017 and was last updated on 12/13/2017.


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
11041C0700XSocial WorkerClinicalSW6366FLORIDAYes

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: 11/14/2023

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