Kathy Marie Hagen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004177 Issued in WA

Practice address

1201 S Proctor St
Tacoma, WA 98405-2047

Phone

(253) 396-5884

Fax

(253) 759-6009

NPI assigned

Nov 13, 2007

Last updated

Jun 11, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Mental Health Center of Tacoma-Pierce County

  dba Comprehensive Life Resources

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1952597056
  NPD

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1427238872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025503",
            "telephone_number": "253-396-5800",
            "fax_number": "253-759-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S PROCTOR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052047",
            "telephone_number": "253-396-5884",
            "fax_number": "253-759-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "KATHY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbie D Hage, DDS
• Susan E Hagel-Bradway, DMD, MS
• Brian Anthony Hagel, R.PH.
• Daniel Lee Hageman
• Alyssa Ryanne Hagen
• Mari Anne Hagen, LICSW
• Nelson A Hager, M.D.
• Jason Hagerup
• Venetia Hagg
• Haggen Inc (Top 41)

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.