Individual provider Active NPI

Keith Hager, MSW, LSW

  • Clinical Social Worker
  • Cambridge, OH
National Provider Identifier
1346971942
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2106782 Issued in OH
Practice address
9259 Liberty School Rd
Cambridge, OH 43725-9589
Phone
(740) 350-0413
NPI assigned
Jun 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 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 S.2106782 OH Primary

Addresses

Primary practice location

9259 Liberty School Rd
Cambridge, OH 43725-9589

Mailing address

9259 Liberty School Rd
Cambridge, OH 43725-9589
Phone (740) 350-0413

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Keith.Hager@mha.ohio.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.2106782OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Manor CurrentSince Jun 26, 2022 Accepting new patients

Locations

9259 Liberty School Rd
Cambridge, OH 43725
Phone (740) 432-0444

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1346971942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9259 LIBERTY SCHOOL RD",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259589",
            "telephone_number": "740-350-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9259 LIBERTY SCHOOL RD",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259589",
            "telephone_number": "740-350-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "KEITH",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2106782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Keith.Hager@mha.ohio.gov",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9259 Liberty School Rd",
            "city": "Cambridge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437259589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.