Active NPI
Agnes Nicolas Hajek, LCSW
- Clinical Social Worker
- El Cajon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW82403
- Practice address
- 2160 Fletcher Pkwy Ste 102
El Cajon, CA 92020-2117 - Phone
- (760) 822-2076
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10638-6 | NV | |
| Clinical Social Worker | 1041C0700X | 82403 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW82403 | CA | Primary |
Addresses
Primary practice location
2160 Fletcher Pkwy Ste 102
El Cajon, CA 92020-2117
Mailing address
164 Day St
Henderson, NV 89074-0106
Phone (760) 822-2076
Other practice location 1
164 Day St
Henderson, NV 89074-0106
Phone (760) 822-2076
Other names 1
- Miss Agnes Nicolas Buzon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1631 Harbison Canyon Rd
Suite 17
El Cajon, CA 92019-1311
Phone (760) 822-2076
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW82403 | CA | MD | Clinical Social Worker |
| 10638-6 | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Oasis Counseling LLC | Current | Accepting new patients | |
| Operation Samahan, Inc. | Past | Accepting new patients |
Locations
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
5160 Federal Blvd
San Diego, CA 92105
Phone (619) 515-2454
2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Mental Health Counselor
- Henderson, NV
- NPI 1336400951
-
dba Family Health Center for Older Adults
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1093298879
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
dba Opsam Health
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1194616268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1083815187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 DAY ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890740106",
"telephone_number": "760-822-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 FLETCHER PKWY STE 102",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202117",
"telephone_number": "760-822-2076"
}
],
"practiceLocations": [
{
"address_1": "164 Day St",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890740106",
"country_code": "US",
"telephone_number": "760-822-2076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAJEK",
"first_name": "AGNES",
"middle_name": "NICOLAS",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "10638-6",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "82403",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW82403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AGNES",
"last_name": "BUZON",
"middle_name": "NICOLAS",
"prefix": "MISS",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.