Active NPI
Roxanna Hageman, LCSW
- Clinical Social Worker
- Chico, CA
National Provider Identifier
1669463808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 17964
- Practice address
- 5 Governors LN
Suite a
Chico, CA 95926-5504 - Phone
- (530) 899-0148
- Fax
- (415) 846-4449
- NPI assigned
- Nov 4, 2005
- 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 | LCS 17964 | CA | Primary |
Addresses
Primary practice location
5 Governors LN
Suite a
Chico, CA 95926-5504
Mailing address
5 Governors LN
Suite a
Chico, CA 95926-5504
Phone (530) 899-0148
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 17964 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669463808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 GOVERNORS LN",
"address_2": "SUITE A",
"city": "CHICO",
"state": "CA",
"postal_code": "959265504",
"telephone_number": "530-899-0148",
"fax_number": "415-846-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GOVERNORS LN",
"address_2": "SUITE A",
"city": "CHICO",
"state": "CA",
"postal_code": "959265504",
"telephone_number": "530-899-0148",
"fax_number": "415-846-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEMAN",
"first_name": "ROXANNA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 17964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.