Andrea Hagen, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090984 Issued in MI

Practice address

259 Hoover Blvd Ste 140
Holland, MI 49423-3790

Phone

(616) 460-0174

NPI assigned

Jun 29, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MI

  Medicare reassignment NPD
• West Michigan Psychological Services LLC

  • Mental Health Counselor
  • Holland, MI
  • NPI 1215407044
  NPD (past)

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1528685294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7173 HANCOCK RD",
            "city": "MONTAGUE",
            "state": "MI",
            "postal_code": "494379329",
            "telephone_number": "231-730-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 HOOVER BLVD STE 140",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233790",
            "telephone_number": "616-460-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "ANDREA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea@westmichiganpsychologicalservices.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "West Michigan Psychological Services LLC",
            "address_1": "259 Hoover Blvd Ste 140",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494233790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leonela Guzman
• Lisa Paulukovich Ha, BEHAVIOR TECHNICIAN
• Sandi Lynn Haan, RDN,CEDS-C
• Caitlynn Rose Haas, D.D.S.
• Jessica Hafner, DO
• Lori Marie Hain, LMSW
• Alexis Hall
• Angela D Hall, OTR/L
• Kristin Hall, PT
• Teresa Hall, D.O.

• Clinical Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.