MS. JENNIFER MILLER BAGWELL (L.C.S.W.) – Clinical Social Worker, NPI 1790994598

MS. JENNIFER MILLER BAGWELL (L.C.S.W.) is a healthcare provider. based in Pompano beach, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.C.S.W.. They hold a License No. SW6366 (FL). The NPI Number for MS. JENNIFER MILLER BAGWELL (L.C.S.W.) is 1790994598

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER MILLER BAGWELL (L.C.S.W.)
NPI
1790994598
Phone
(954) 465-6988
Address
2611 N Riverside Dr
Enumeration Date
21 May 2007
Last Update Date
23 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5618091906
Graduation Year
1997 (29 years ago)
PAC ID
6800140955
Group Practice PAC ID
8527455765
Professional Enrollment ID
I20181108002440
Address ID
FL334637273LA7231XLNXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MS. JENNIFER MILLER BAGWELL (L.C.S.W.)

  • 2611 N Riverside Dr

    Suite 306

    Pompano Beach, FL 330621245

    Phone: (954) 465-6988

    Fax: (954) 563-5807

    Type: Location

  • PGA Boulevard, Palm Beach Gardens, Palm Beach County, Florida, 33418, United States

    PALM BEACH GARDENS, FL 334106540

    Phone: (954) 465-6988

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181108002440IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour44625$0
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 33062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527455765View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What number should I use to identify MS. JENNIFER MILLER BAGWELL (L.C.S.W.) for billing?
Administrative and clinical systems typically use NPI 1790994598 for MS. JENNIFER MILLER BAGWELL (L.C.S.W.).
Is MS. JENNIFER MILLER BAGWELL (L.C.S.W.) currently accepting referrals based on NPI status?
Registry metadata lists MS. JENNIFER MILLER BAGWELL (L.C.S.W.) as active.
What type of care does MS. JENNIFER MILLER BAGWELL (L.C.S.W.) provide?
MS. JENNIFER MILLER BAGWELL (L.C.S.W.)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. JENNIFER MILLER BAGWELL (L.C.S.W.) tied to Pompano Beach, Florida?
If you are local to Pompano Beach, Florida, MS. JENNIFER MILLER BAGWELL (L.C.S.W.) may be relevant to your search.
Who maintains MS. JENNIFER MILLER BAGWELL (L.C.S.W.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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