Anita Lynette Hagans, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020313 Issued in NC

Practice address

109 Professional CT Ste 108
Garner, NC 27529-8348

Phone

(919) 322-0740

Fax

(919) 322-0174

NPI assigned

Mar 18, 2024

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Inspired 2 Change Life Integrated Therapy and Wellness Center, PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1104611532
  NPD Authorized official
• Multi-Cultural Counseling & Wellness Clinic, PLLC

  • Community/Behavioral Health Agency
  • Garner, NC
  • NPI 1962126458
  NPD

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1194584318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WOODS OF NORTH BEND DR APT D",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093948",
            "telephone_number": "919-786-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PROFESSIONAL CT STE 108",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298348",
            "telephone_number": "919-322-0740",
            "fax_number": "919-322-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGANS",
        "first_name": "ANITA",
        "middle_name": "LYNETTE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Grimaldi, PHARMD
• Michael James Guerrero, ATC
• Andrew Richard Haberkorn, PHARMD
• Nicholas Anthony Hadgis, DPT
• Shannon Hagan, CCC-SLP
• Julia Hageman
• Ryan Hahner, ATC, LAT
• Halikierra Community Servcies LLC
• Claudia Hall
• David John Hall Jr., DDS

• Clinical Social Worker in Garner, NC
• Providers in Garner, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.