Organization Active NPI

Hagemaster Empowerment Center, PLLC

  • Clinical Social Worker
  • Lockport, IL
National Provider Identifier
1457945503
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HAGEMASTER EMPOWERMENT CENTER, PLLC
Practice address
123 E 9TH St
Lockport, IL 60441-3690
Phone
(708) 869-0333
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Megan L Hagemaster, LCSWNPI 1316328859
Title
Manager
Phone
(708) 769-2689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

123 E 9TH St
Lockport, IL 60441-3690

Mailing address

17150 S McCarron Rd
Homer Glen, IL 60491-8251
Phone (708) 769-2689

Other practice location 1

17150 S McCarron Rd
Homer Glen, IL 60491-8251
Phone (708) 869-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220325001013 IL Part B Supplier - Clinic/Group Practice 5799170981 Receives reassigned benefits from 1 practitioner
Practice locations: Lockport, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1457945503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 S MCCARRON RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918251",
            "telephone_number": "708-769-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E 9TH ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413690",
            "telephone_number": "708-869-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17150 S McCarron Rd",
            "address_purpose": "LOCATION",
            "city": "Homer Glen",
            "state": "IL",
            "postal_code": "604918251",
            "country_code": "US",
            "telephone_number": "708-869-0333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAGEMASTER EMPOWERMENT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "HAGEMASTER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-769-2689",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.