Individual provider Active NPI

Suzette Marie Hager, L.C.S.W

  • Clinical Social Worker
  • High Point, NC
National Provider Identifier
1629389986
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011350 Issued in NC
Practice address
3017 Wellingford Dr
High Point, NC 27265-2240
Phone
(801) 380-8762
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5600139-3501 UT
Clinical Social Worker 1041C0700X C011350 NC Primary

Addresses

Primary practice location

3017 Wellingford Dr
High Point, NC 27265-2240

Mailing address

3017 Wellingford Dr
High Point, NC 27265-2240
Phone (801) 380-8762

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200618001717 NC Practitioner - Clinical Social Worker 2264854371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Utah School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saved Health Inc 18 clinicians

Practice addresses (Care Compare)

3755 Admiral Dr
Suite 105a
High Point, NC 27265-1554
Phone (336) 673-5097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C011350NCMDClinical Social Worker
5600139-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saved Health Inc Clinical CurrentSince Oct 1, 2022 Accepting new patients

Locations

3755 Admiral Dr
Ste 105A
High Point, NC 27265
Phone (336) 210-8409

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1629389986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 WELLINGFORD DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652240",
            "telephone_number": "801-380-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 WELLINGFORD DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652240",
            "telephone_number": "801-380-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "SUZETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5600139-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.