Individual provider Active NPI

Emily Hagenmaier, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1033314521
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8054-123 Issued in WI
Practice address
6409 Odana Rd Ste 11
Madison, WI 53719-1177
Phone
(608) 345-8212
NPI assigned
Jun 15, 2007
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8054-123 WI Primary
Rehabilitation Counselor 225C00000X

Addresses

Primary practice location

6409 Odana Rd Ste 11
Madison, WI 53719-1177

Mailing address

6409 Odana Rd Ste 11
Madison, WI 53719-1177
Phone (608) 345-8212

Other practice location 1

527 Crocker St
Los Angeles, CA 90013-2116
Phone (213) 488-9559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8054-123WIMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1033314521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 ODANA RD STE 11",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191177",
            "telephone_number": "608-345-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 ODANA RD STE 11",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191177",
            "telephone_number": "608-345-8212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Crocker St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900132116",
            "country_code": "US",
            "telephone_number": "213-488-9559",
            "fax_number": "213-683-0969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGENMAIER",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8054-123",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.