Individual provider Active NPI

Felicia R Hagberg, MSW

  • Clinical Social Worker
  • Westminster, MA
National Provider Identifier
1720192289
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1015758 Issued in MA
Practice address
71 Main St Ste 2D
Westminster, MA 01473-1472
Phone
(978) 855-0645
Fax
(978) 874-0419
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1015758 MA Primary

Addresses

Primary practice location

71 Main St Ste 2D
Westminster, MA 01473-1472

Mailing address

PO Box 412
Westminster, MA 01473-0412
Phone (978) 855-0645

Other identifiers 2

IdentifierTypeStateIssuer
P08262OtherMABXBS
1859391MedicaidMA

Other names 1

  • Mrs. Felicia A. Rao Hagberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20041104000393 MA Practitioner - Clinical Social Worker 2365405081 Practice locations: Westminster, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

71 Main St
Westminster, MA 01473-1472
Phone (978) 855-0645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1015758MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Noreen S Conlon LMHC LLC PastSince Apr 30, 2023 Accepting new patients

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1720192289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "014730412",
            "telephone_number": "978-855-0645",
            "fax_number": "978-874-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 MAIN ST STE 2D",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "014731472",
            "telephone_number": "978-855-0645",
            "fax_number": "978-874-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGBERG",
        "first_name": "FELICIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "P08262",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859391",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "RAO HAGBERG",
            "middle_name": "A.",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, MA

Sources for this page

Verify at the official NPI Registry.