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S. BERNARD BAGLEY LCSW
NPI 1023580800
Social Worker - Clinical in Fayetteville, GA

Active since December 18, 2018
148 GEORGIA AVE E STE C, FAYETTEVILLE, GA 30214(404) 968-4662(404) 968-4562 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2022, Dec 18, 2018 (2 updates tracked since 2018).

About S. Bernard Bagley Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S. BERNARD BAGLEY LCSW (NPI 1023580800) is an individual clinical provider in Fayetteville, Georgia, licensed in Georgia (CSW007300) and active in the NPI registry since December 2018. He maintains a secondary practice location in College Park.

NPPES Registry Identity

NPI1023580800
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameS. BERNARD BAGLEYCredential: LCSW
Location Address148 GEORGIA AVE E STE CFayetteville, GA 30214-1616
Mailing Address375 Windermere CirNewnan, GA 30265-2278
Phone(404) 968-4662
Fax(404) 968-4562
Sole ProprietorNo
Enumeration DateDecember 18, 2018
Last NPPES UpdateMay 16, 20222 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1023580800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW007300
Definition
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.
148 GEORGIA AVE E STE C, Fayetteville, GA 30214
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Secondary Practice Location 1

Location 11919 John Wesley AveCollege Park, GA 30337-3605 · Phone (404) 762-9190 ext. 269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S. Bagley's NPI number?

The NPI number for S. Bagley is 1023580800. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Where is S. Bagley located?

S. Bagley practices at 148 Georgia Ave E Ste C, Fayetteville, GA 30214. The listed phone number is (404) 968-4662.

What is S. Bagley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for S. Bagley was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.