IndividualActive
Andrew Bagley, SOCIAL WORKER
NPI 1104259860 · Social Worker · Glendale, WI
Provider details
- NPI number
- 1104259860
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- SOCIAL WORKER
- Sex
- Male
- Sole proprietor
- Yes
- License
- 128344-121 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1720 W Florist Ave Ste 125
Glendale, WI 53209-3862
Phone: (414) 247-0801
Fax: (414) 247-0816
Approximate (ZIP-level) locationGet directions
Mailing address
1720 W Florist Ave Ste 125
Glendale, WI 53209-3862
Registry dates
- Enumerated
- 2013-08-16
- Last updated
- 2013-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.