Individual provider Active NPI

Agnes Nicolas Hajek, LCSW

  • Clinical Social Worker
  • El Cajon, CA
National Provider Identifier
1083815187
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW82403 Issued in CA
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

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190615000258 CA Practitioner - Clinical Social Worker 8820321391 Reassigns benefits to 1 organization
Practice locations: El Cajon, CA
I20230926004217 NV Practitioner - Clinical Social Worker 8820321391 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LCSW82403CAMDClinical Social Worker
10638-6NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 30, 2019 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 30, 2019 Accepting new patients
Oasis Counseling LLC CurrentSince Sep 1, 2023 Accepting new patients
Operation Samahan, Inc. PastSince Jul 22, 2025 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.

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

Verify at the official NPI Registry.