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AUDRIANA BAGWELL LICSW
NPI 1578417077
Social Worker - Clinical in Brainerd, MN

Active since February 23, 2026PECOS Enrolled
17025 COMMERCIAL PARK RD UNIT 6, BRAINERD, MN 56401(218) 454-3968 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Audriana Bagwell Licsw NPPES

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

AUDRIANA BAGWELL LICSW (NPI 1578417077) is an individual clinical provider in Brainerd, Minnesota, licensed in Minnesota (23732) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1578417077
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAUDRIANA BAGWELLCredential: LICSW
Location Address17025 COMMERCIAL PARK RD UNIT 6Brainerd, MN 56401-6254
Mailing Address17025 Commercial Park Rd Unit 6Brainerd, MN 56401-6254 · (218) 454-3968
Phone(218) 454-3968
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1578417077 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 MN · 23732
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.
17025 COMMERCIAL PARK RD UNIT 6, Brainerd, MN 56401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audriana Bagwell Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961967526
PECOS Enrollment IDI20260805002804
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 56401 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

SAMANTHA MCKAY
Counselor (Professional)
17025 COMMERCIAL PARK RD UNIT 6
BRAINERD, MN 56401
Crow Wing County (218) 454-3970

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 Audriana Bagwell's NPI number?

The NPI number for Audriana Bagwell is 1578417077. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Audriana Bagwell located?

Audriana Bagwell practices at 17025 Commercial Park Rd Unit 6, Brainerd, MN 56401. The listed phone number is (218) 454-3968.

What is Audriana Bagwell's specialty?

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

Is Audriana Bagwell enrolled in Medicare?

Yes. Audriana Bagwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audriana Bagwell was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.