Individual provider Active NPI

Lisa Lynn Haglund, LCSW

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1477399376
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2026034616 Issued in MO
Practice address
115 Conley Rd # 1031
Columbia, MO 65201-6465
Phone
(573) 200-6698
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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 2026034616 MO Primary

Addresses

Primary practice location

115 Conley Rd # 1031
Columbia, MO 65201-6465

Mailing address

115 Conley Rd # 1031
Columbia, MO 65201-6465
Phone (573) 200-6698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1800 Community
Clinton, MO 64735-8804

3216 Nicklaus CT
Fulton, MO 65251-7808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024022200MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Tides Behavioral Health, LLC Clinical CurrentSince Jul 7, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1477399376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CONLEY RD # 1031",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016465",
            "telephone_number": "573-200-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CONLEY RD # 1031",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016465",
            "telephone_number": "573-200-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGLUND",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2026034616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.