Cindy Jean Hagerup, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801080416 Issued in MI

Practice address

50 Antoine St SW
Grand Rapids, MI 49507-1002

Phone

(616) 819-6465

Fax

(616) 819-2291

NPI assigned

Sep 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cynthia Jean Hagerup Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1316255466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 KRAFT AVE SE",
            "address_2": "STE 186",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122076",
            "telephone_number": "616-819-6465",
            "fax_number": "616-819-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ANTOINE ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495071002",
            "telephone_number": "616-819-6465",
            "fax_number": "616-819-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERUP",
        "first_name": "CINDY",
        "middle_name": "JEAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "HAGERUP",
            "middle_name": "JEAN",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ronald G Hageman, AUD CCCA
• Alaina G Hager
• Amy Kay Hager
• Meaghan Leigh Hagerman, PA
• Preston James Hagerman
• Leah Haggard
• Lauren Haggart
• Benjamin Hagge, ATC
• Rachel Haglund
• Alana Cheyanne Hague, LLMSW

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.