Individual provider Active NPI

Rachel Suzanne Hagen, LMSW

  • Social Worker
  • Fargo, ND
National Provider Identifier
1073291886
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6519 Issued in ND
Practice address
3244 51St St S
Fargo, ND 58104-7179
Phone
(701) 356-0062
Fax
(701) 356-5412
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 6519 ND
Social Worker 104100000X 6519 ND Primary

Addresses

Primary practice location

3244 51St St S
Fargo, ND 58104-7179

Mailing address

680 42ND Ave W
West Fargo, ND 58078-8276
Phone (701) 361-1521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3244 51St St S
Fargo, ND 58104-7179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Boundaries Speech Language Therapy, Inc. CurrentSince Sep 14, 2025 Accepting new patients
Beyond Boundaries Occupational Therapy, Inc. Social Worker CurrentSince Sep 14, 2025 Accepting new patients

Locations

3244 51st St S
Fargo, ND 58104
Phone (701) 356-0062

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1073291886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 42ND AVE W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788276",
            "telephone_number": "701-361-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 51ST ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047179",
            "telephone_number": "701-356-0062",
            "fax_number": "701-356-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "RACHEL",
        "middle_name": "SUZANNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "6519",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "6519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.