Jessica Dawn Hagerman, B.S.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2222 Colonial Rd
Fort Pierce, FL 34950-5309

Phone

(772) 559-4433

Fax

(772) 299-3757

NPI assigned

Mar 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhagerman@smhcinc.org

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.

• Suncoast Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stuart, FL
  • NPI 1689242620
  NPD
• Behavioral Stepping Stones

  • Behavior Analyst
  • Vero Beach, FL
  • NPI 1306295464
  NPD (past)
• Suncoast Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
  • NPI 1225046550
  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1407351125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 9TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 COLONIAL RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505309",
            "telephone_number": "772-559-4433",
            "fax_number": "772-299-3757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 9th Pl",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606819",
            "country_code": "US",
            "telephone_number": "772-770-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2814 S US Highway 1 Ste D4",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349828110",
            "country_code": "US",
            "telephone_number": "772-489-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGERMAN",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1047351125",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jhagerman@smhcinc.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2222 Colonial Rd Ste 100",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349505309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhagerman@smchinc.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2222 Colonial Rd Ste 100",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349505309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gwendolyn McLeod
• Michael B Gyimah, MD
• Diana Marie Hafner, HIS
• Joshua Dennis Hagan, MD
• Jordan P Hagans, APRN
• Mia Yvette Hall, DMFT & LCSW
• Ria Hallenbeck, ARNP
• Stefanie Hallowell, MS, LPC
• David Halpern, DDS
• Alexa N Hamilton

• Social Worker in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Social Worker in Florida

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