Individual provider Active NPI

Ronald Eugene Hager, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1366710428
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259763 Issued in KY
Practice address
1169 Eastern Pkwy Ste 3360
Louisville, KY 40217-1415
Phone
(502) 472-7293
Fax
(502) 690-4500
NPI assigned
Dec 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 3725 KY
Clinical Social Worker 1041C0700X 259763 KY Primary

Addresses

Primary practice location

1169 Eastern Pkwy Ste 3360
Louisville, KY 40217-1415

Mailing address

8134 New Lagrange Road
Suite 100
Louisville, KY 40222
Phone (502) 472-7293

Other practice location 1

8134 New LaGrange Road
Suite 100
Louisville, KY 40222
Phone (502) 472-7293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250401002549 KY Practitioner - Clinical Social Worker 1355864232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Lucas Counseling and Consulting LLCGroup PAC ID 6800282971, 5 clinicians

Practice addresses (Care Compare)

8134 New Lagrange Rd
Suite 100
Louisville, KY 40222
Phone (502) 767-0415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3725KYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Counseling and Consulting, LLC Clinical CurrentSince Oct 22, 2024 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 3360
Louisville, KY 40217
Phone (502) 767-0415

8134 New La Grange Rd
Ste 100
Louisville, KY 40222
Phone (502) 767-0415

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": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1366710428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134 NEW LAGRANGE ROAD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40222",
            "telephone_number": "502-472-7293",
            "fax_number": "502-690-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 3360",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171415",
            "telephone_number": "502-472-7293",
            "fax_number": "502-690-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8134 New LaGrange Road",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40222",
            "country_code": "US",
            "telephone_number": "502-472-7293",
            "fax_number": "502-690-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGER",
        "first_name": "RONALD",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "3725",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.