Tara Alisabeth Bagnola
Tara Alisabeth Bagnola is a Social Worker in Glencoe, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
361 Park AveGlencoe, IL 60022-1587
Phone: (773) 828-0127
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149026008 (IL) |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1104568021 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 11, 2022 |
| Last updated in NPPES | October 19, 2023 |
| Certification date | October 19, 2023 |
| Mailing address | 2535 N Hamlin Ave, Chicago, IL 60647-1007 |
Other providers in Glencoe
-
Ellen R Blumenthal, LCSW
435 Grove St, Glencoe, IL 60022-1845 · (847) 707-2135
-
Adriana A. Ochoa Figueroa, LCSW
361 Park Ave Ste 202, Glencoe, IL 60022-1585 · (773) 828-0540