Individual provider Active NPI

Megan Hagemaster

  • Clinical Social Worker
  • Lockport, IL
National Provider Identifier
1316328859
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017594 Issued in IL
Practice address
123 E 9TH St
Ste 1B
Lockport, IL 60441-3691
Phone
(630) 324-8298
Fax
(815) 346-5320
NPI assigned
Jun 10, 2015
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 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 149.017594 IL Primary

Addresses

Primary practice location

123 E 9TH St
Ste 1B
Lockport, IL 60441-3691

Mailing address

17150 S McCarron Rd
Homer Glen, IL 60491-8251
Phone (708) 769-2689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220325001059 IL Practitioner - Clinical Social Worker 6608261896 Reassigns benefits to 1 organization

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)

123 E 9TH St
Suite 1B
Lockport, IL 60441-3691
Phone (708) 869-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hagemaster Empowerment Center, PLLC Clinical CurrentSince Nov 18, 2021 Accepting new patients
Finding Balance LTD. Past Accepting new patients

Locations

123 E 9th St
Ste 1B
Lockport, IL 60441
Phone (708) 869-0333

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, 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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1316328859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 S MCCARRON RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918251",
            "telephone_number": "708-769-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E 9TH ST",
            "address_2": "STE 1B",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413691",
            "telephone_number": "630-324-8298",
            "fax_number": "815-346-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMASTER",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

Verify at the official NPI Registry.