Individual ProviderCarl BagniniSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1148 Port Washington Blvd, Port Washington, NY 11050-3025(516) 944-8927PECOS EnrollmentBased on the most recent information from CMS, provider Carl Bagnini does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1205909173Provider TypeIndividualFull NameBagnini, CarlTitleMr.CredentialLCSWGenderMaleSole ProprietorYesEnumeration Date11/16/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1148 Port Washington Blvd, Port Washington, NY 11050-3025Phone(516) 944-8927Fax(516) 883-3473Mailing LocationMailing Address100 Oakland Ave, Port Washington, NY 11050-1842Phone(516) 944-8927Fax(516) 883-3473Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseR011808New York