Jennifer Ann Pantaleo Hagle

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801095995 Issued in MI

Practice address

23503 Easy St
Clinton Township, MI 48036-1208

Phone

(586) 226-3440

NPI assigned

Aug 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

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.

• The Talking Shop LLC

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1740178425
  NPD Authorized official
• Macomb Family Services, Inc

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1326599036
  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1689923039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23503 EASY ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361208",
            "telephone_number": "586-243-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23503 EASY ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361208",
            "telephone_number": "586-226-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTALEO HAGLE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panagia Medical Recovery Clinic PLLC
• Adrienne Pandori
• Shannon McDermott Panetta, PHD LLP
• Susha Thomas Panicker, PMHNP-BC, FNP-BC
• Andrew C Pankiewicz, BEHAVIOR TECHNICIAN
• Paragon Diagnostics
• Caroline Margaret Parent
• Tushar S Parikh, M.D.
• Jennifer Parises, MSW
• Loretta Parish, LPN

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, 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 Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.