1. Home
  2. Directory
  3. Illinois
  4. Glencoe
  5. Social Worker
  6. NPI Profile

TARA ALISABETH BAGNOLA
NPI 1104568021
Social Worker - Clinical in Glencoe, IL

Active since April 11, 2022PECOS Enrolled
361 PARK AVE, GLENCOE, IL 60022(773) 828-0127 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2023, Apr 21, 2022, Apr 11, 2022 (3 updates tracked since 2022).

About Tara Alisabeth Bagnola NPPES

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

TARA ALISABETH BAGNOLA (NPI 1104568021) is an individual clinical provider in Glencoe, Illinois, licensed in Illinois (149026008) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104568021
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARA ALISABETH BAGNOLA
Location Address361 PARK AVEGlencoe, IL 60022-1587
Mailing Address2535 N Hamlin AveChicago, IL 60647-1007 · (773) 983-8171
Phone(773) 828-0127
Sole ProprietorNo
Enumeration DateApril 11, 2022
Last NPPES UpdateOctober 19, 20233 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1104568021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149026008
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.
Also ListedSocial WorkerTaxonomy 104100000X
361 PARK AVE, Glencoe, IL 60022
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Alisabeth Bagnola is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRS SRIPADA MD SC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
361 PARK AVE, STE 202
GLENCOE, IL 60022
Cook County (847) 835-9085

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 Tara Bagnola's NPI number?

The NPI number for Tara Bagnola is 1104568021. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Tara Bagnola located?

Tara Bagnola practices at 361 Park Ave, Glencoe, IL 60022. The listed phone number is (773) 828-0127.

What is Tara Bagnola's specialty?

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

Is Tara Bagnola enrolled in Medicare?

Yes. Tara Bagnola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Bagnola was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.