Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lafayette R Bagley, LCSW

Individual provider Clinical Social Worker · NPI 1285399576

Lafayette R Bagley, LCSW is a Clinical Social Worker in Chicago, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2007, 19 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2071 N Southport Ave
Chicago, IL 60614-4015
Phone: (312) 761-4707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.026408 (IL)

Record details

NPI number1285399576
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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