Individual provider · Type 1 NPI

S. Bernard Bagley, LCSW

Clinical Social Worker · Fayetteville, GA

NPI number 1023580800 Active

Practice location

148 Georgia Ave E Ste C
Fayetteville, GA 30214-1616

Call (404) 968-4662 Map

Fax (404) 968-4562

Mailing address

375 Windermere Cir
Newnan, GA 30265-2278

Other practice locations

  • 1919 John Wesley Ave, College Park, GA 30337-3605 · (404) 762-9190

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW007300 (GA)

Clinical Social Worker: 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 interpers…

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About NPI 1023580800

S. Bernard Bagley, LCSW's National Provider Identifier is 1023580800, issued on Dec 18, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, GA. The record was last updated on May 16, 2022.