Individual provider · Type 1 NPI

Mary Jean Baggerman, MA

Clinical Social Worker · Portage, MI

NPI number 1942304209 Active

Practice location

8036 Moorsbridge Road, Suite #2
Portage, MI 49024-4417

Call (269) 327-1438 Map

Fax (269) 327-6454

Mailing address

PO Box 2585
Portage, MI 49081-2585

Specialties and licenses

TaxonomyCodeLicense
Counseling Psychologist 103TC1900X6401002019 (MI)
Clinical Social Worker Primary 1041C0700X6801034504 (MI)

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 1942304209

Mary Jean Baggerman, MA's National Provider Identifier is 1942304209, issued on Sep 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portage, MI. The record was last updated on Sep 11, 2025.