Colleen L Hagan LCSW Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW001379 Issued in GA

Legal business name

COLLEEN L HAGAN LCSW INC

Practice address

1640 Powers Ferry Rd SE
BLDG 29 Suite 300
Marietta, GA 30067-5491

Phone

(678) 469-1409

Fax

(770) 858-1700

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Colleen L Hagan, LCSW

Title

President

Phone

(678) 469-1409

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396800819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE",
            "address_2": "BLDG 29 SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "678-469-1409",
            "fax_number": "770-858-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE",
            "address_2": "BLDG 29 SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "678-469-1409",
            "fax_number": "770-858-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN L HAGAN LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-469-1409",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "089005",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI COLLEEN L HAGAN INDIV",
            "identifier": "1295714442",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela G Colemon, LPN
• Joan Michelle Coles, MS APC
• Jeffrey C Colier, AA
• Diane Coll, LPC, MT-BC
• Adrian Collazo, DC
• Colleen Walsh, LPC, LLC
• Thomas A Collentine, MD
• Alea Collier
• Kelsey Margaret Collier
• Sarah Kathryn Collier, LPC

• Clinical Social Worker in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.