MEDICARE: CASSANDRA M BAGWELL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904006104	VA

General Provider Information

NPI Number	:	1639191224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA M BAGWELL LCSW

Provider Business Mailing Address
First Line	:	WOMACK ARMY MEDICAL CENTER MCXC-DSW
Second Line	:	2817 REILLY ROAD
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-7301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	WOMACK ARMY MEDICAL CENTER MCXC-DSW
Second Line	:	2817 REILLY ROAD
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-7301
Country	:	US
Telephone Number	:	910-907-7132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1043290273 — DIETRA MONTALVO LCSW
Practice Location Address:

2817 ROCK MERRITT AVENUE
FORT BRAGG, NC
28310-7301

Practice Phone: 910-907-8922
Practice Fax: 910-907-6069

1124091764 — DR. SUN YONG KIM M.D.
Practice Location Address:

DEPARTMENT OF THE ARMY WAMC STOP A 2817 REILLY ROAD , ATTN: SUN YONG KIM MCXC-RAD
FORT BRAGG, NC
28310-7301

Practice Phone: 910-907-6993
Practice Fax: 910-907-6985

1184692113 — DR. YOUNG SAMMY CHOI M.D.
Practice Location Address:

DEPARTMENT OF THE ARMY, WAMC STOP A , 2817 REILLY ROAD
FORT BRAGG, NC
28310-7301

Practice Phone: 910-907-7337
Practice Fax: 910-907-8788

1467411595 — MS. RENEE HARRIET BERINGER MS, RD, LDN
Practice Location Address:

BLDG 4-2187 REILLY ROAD , NUTRITION CARE DIVISION (MCXC-NCD), WAMC STOP A
FORT BRAGG, NC
28310-7301

Practice Phone: 910-907-8435
Practice Fax:

1841254711 — DR. AMY CHEN SANTANGELO MD
Practice Location Address:

2817 REILLY ST
FORT BRAGG, NC
28310-7301

Practice Phone: 910-907-7827
Practice Fax: 910-396-7559

1780605196 — EDNA ALVARADO OD
Practice Location Address:

2817 REILLY RD
FORT BRAGG, NC
28310-7301

Practice Phone: 910-907-9262
Practice Fax:

Directions to “ CASSANDRA M BAGWELL LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.