Individual provider Active NPI

Monica Felicia Sagen, MSW, LSWAIC

  • Clinical Social Worker
  • Dupont, WA
National Provider Identifier
1417534256
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC60823756 Issued in WA
Practice address
1835 Miller Dr
Dupont, WA 98327-9038
Phone
(235) 324-0955
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 SC60823756 WA Primary

Addresses

Primary practice location

1835 Miller Dr
Dupont, WA 98327-9038

Mailing address

311 140TH St S
Parkland, WA 98444-4526
Phone (253) 536-5961

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Clinic Direct
Direct Messaging Address monica.sagen@davita.com Health Information Exchange (HIE)
Direct Messaging Address monica.sagen@davita.com Health Information Exchange (HIE)

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
SC60823756WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1417534256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 140TH ST S",
            "city": "PARKLAND",
            "state": "WA",
            "postal_code": "984444526",
            "telephone_number": "253-536-5961",
            "fax_number": "253-536-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 MILLER DR",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279038",
            "telephone_number": "235-324-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGEN",
        "first_name": "MONICA",
        "middle_name": "FELICIA",
        "name_prefix": "Ms.",
        "credential": "MSW, LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60823756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Clinic",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1835 Miller Dr",
            "city": "DuPont",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983279038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monica.sagen@davita.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1835 Miller Dr",
            "city": "DuPont",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983279038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monica.sagen@davita.com",
            "affiliation": "N",
            "endpointDescription": "Clinic or pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "311 140th St S",
            "city": "Parkland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984444526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dupont, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.