Active NPI
Suzette Marie Hager, L.C.S.W
- Clinical Social Worker
- High Point, NC
National Provider Identifier
1629389986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011350
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C011350 | NC | MD | Clinical Social Worker |
| 5600139-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saved Health Inc | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.