Billie Jo Hagen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890101573 Issued in VT

Practice address

36 Park PL
Suite 101
Brattleboro, VT 05301-2802

Phone

(802) 246-1221

Fax

(802) 246-1002

NPI assigned

Sep 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Billie Jo Fairbrother Former name

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Inner Sage Counseling, LLC

  • Mental Health Counselor
  • Brattleboro, VT
  • NPI 1497141063
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1356742274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PARK PL",
            "address_2": "SUITE 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012802",
            "telephone_number": "802-246-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PARK PL",
            "address_2": "SUITE 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012802",
            "telephone_number": "802-246-1221",
            "fax_number": "802-246-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "BILLIE",
        "middle_name": "JO",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890101573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLIE JO",
            "last_name": "FAIRBROTHER",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Marie Gunning, PT
• Raina E Gupton, PHARMD
• Lacey Haberstroh
• Habit Opco, LLC
• Habit Opco, LLC
• Melissa Jane Hall, LMT, HHP
• John Michael Halloran, PSY.D.
• Andrew Haltof, DO
• Catharine M Hamilton, MA, CCC-SLP, CAGS
• Christine Hamrin, L.P.N.

• Clinical Social Worker in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.