Individual provider Active NPI

Casie Michelle Hagans, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
National Provider Identifier
1225286545
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4161-C Issued in AR
Practice address
1150 E Matthews Ave Ste 203
Jonesboro, AR 72401-4345
Phone
(870) 815-1234
Fax
(844) 232-7847
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4161-C AR Primary

Addresses

Primary practice location

1150 E Matthews Ave Ste 203
Jonesboro, AR 72401-4345

Mailing address

241 County Road 130
Bono, AR 72416-8283
Phone (870) 815-1234

Other identifiers 2

IdentifierTypeStateIssuer
5FF19OtherARBCBS
171512795MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151215000115 AR Practitioner - Clinical Social Worker 4385945476 Reassigns benefits to 2 organizations
Practice locations: Jonesboro, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 E Matthews Ave
Suite 203
Jonesboro, AR 72401-4345
Phone (870) 815-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4161-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families, Inc of Arkansas CurrentSince Nov 9, 2015 Accepting new patients
NC Counseling Services, PLLC Clinical CurrentSince Sep 1, 2021 Accepting new patients

Locations

1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886

2917 King St
Ste Cd
Jonesboro, AR 72401
Phone (870) 926-2949

826 Cobb St
Ste B
Jonesboro, AR 72401
Phone (870) 815-1234

1150 E Matthews Ave
Ste 203
Jonesboro, AR 72401
Phone (870) 815-1234

1112 Pace Rd
Pocahontas, AR 72455
Phone (870) 815-1234

1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1225286545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 COUNTY ROAD 130",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724168283",
            "telephone_number": "870-815-1234",
            "fax_number": "844-232-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E MATTHEWS AVE STE 203",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014345",
            "telephone_number": "870-815-1234",
            "fax_number": "844-232-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGANS",
        "first_name": "CASIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4161-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5FF19",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171512795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.