MR. CLUSSIE BAGBY
NPI 1174214076
Counselor - Addiction (Substance Use Disorder) in Renton, WA

Q: What is Clussie Bagby's NPI number?

The NPI number for Clussie Bagby is 1174214076. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Q: What is Clussie Bagby's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Clussie Bagby was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 19, 2023

15 S GRADY WAY STE 245, RENTON, WA 98057(206) 679-8291(206) 274-6252 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Clussie Bagby NPPES

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

MR. CLUSSIE BAGBY (NPI 1174214076) is an individual addiction (substance use disorder) provider in Renton, Washington and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1174214076

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. CLUSSIE BAGBY

Location Address15 S GRADY WAY STE 245Renton, WA 98057-3209

Mailing Address15 S Grady Way Ste 245Renton, WA 98057-3209 · (206) 679-8291 · Fax (206) 274-6252

Phone(206) 679-8291

Fax(206) 274-6252

Sole ProprietorNo

Enumeration DateMay 19, 2023

NPPES CertifiedMay 19, 2023

✔ NPI 1174214076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

15 S GRADY WAY STE 245, Renton, WA 98057

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Other Providers at the Same Location NPPES 3

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

GLISENYS J. HEYWARD

Counselor (Addiction (Substance Use Disorder))

15 S GRADY WAY STE 245
RENTON, WA 98057

King County (206) 679-8291

SHARVELL MARIE JORDAN

Counselor

15 S GRADY WAY STE 245
RENTON, WA 98057

King County (206) 679-8291

ANGELIQUE NICOLE BLACKWELL CGG61649106

Counselor

15 S GRADY WAY STE 245
RENTON, WA 98057

King County (206) 679-8291

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 Clussie Bagby's NPI number?

The NPI number for Clussie Bagby is 1174214076. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Clussie Bagby located?

Clussie Bagby practices at 15 S Grady Way Ste 245, Renton, WA 98057. The listed phone number is (206) 679-8291.

What is Clussie Bagby's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Clussie Bagby was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.