Individual provider Active NPI

Lindsey Hagan, LMSW

  • Social Worker
  • Rochester, NY
National Provider Identifier
1245873850
Registry record updated Oct 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
100736 Issued in NY
Practice address
43 Stoneridge Dr
Rochester, NY 14615-1439
Phone
(585) 233-4680
NPI assigned
Oct 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 100736 NY Primary

Addresses

Primary practice location

43 Stoneridge Dr
Rochester, NY 14615-1439

Mailing address

81 Devonshire Cir
Penfield, NY 14526-2664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230327001053 NY Practitioner - Clinical Social Worker 4385018761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brooklyn Womens and Family Counseling Services LCSW PLLCGroup PAC ID 5496645921, 21 clinicians

Practice addresses (Care Compare)

7706 13TH Ave
Brooklyn, NY 11228-2414
Phone (718) 232-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100736NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Womens & Family Counseling Services LCSW PLLC Social Worker CurrentSince Feb 1, 2023 Accepting new patients

Locations

7706 13th Ave
Brooklyn, NY 11228
Phone (718) 879-8844

7706 13th Ave
Ste 2
Brooklyn, NY 11228
Phone (718) 313-4357

Organizations & group practices 1

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": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572048000000",
    "number": "1245873850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 DEVONSHIRE CIR",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 STONERIDGE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151439",
            "telephone_number": "585-233-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "LINDSEY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2019-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "100736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.