Active NPI
Kathleen Lowes Haglage, LISW
- Clinical Social Worker
- Blue Ash, OH
National Provider Identifier
1467718023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1200001
- Practice address
- 10200 Alliance Rd
Blue Ash, OH 45242-4753 - Phone
- (513) 891-0650
- Fax
- (513) 891-2838
- NPI assigned
- Apr 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1200001 | OH | Primary |
Addresses
Primary practice location
10200 Alliance Rd
Blue Ash, OH 45242-4753
Mailing address
10200 Alliance Rd Ste 150
Blue Ash, OH 45242-4754
Phone (513) 891-0650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311705723 | Other | OH | TAX ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1200001 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
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Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1467718023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 ALLIANCE RD STE 150",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452424754",
"telephone_number": "513-891-0650",
"fax_number": "513-891-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 ALLIANCE RD",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452424753",
"telephone_number": "513-891-0650",
"fax_number": "513-891-2838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGLAGE",
"first_name": "KATHLEEN",
"middle_name": "LOWES",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "1200001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "311705723",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.