Active NPI
Kenneth J Hagen, LSCSW
- Clinical Social Worker
- Topeka, KS
National Provider Identifier
1750353959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0637
- Practice address
- 3500 SW 6TH Ave
Suite 116
Topeka, KS 66606-2806 - Phone
- (785) 233-7138
- Fax
- (785) 233-7089
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- 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 | 0637 | KS | Primary |
Addresses
Primary practice location
3500 SW 6TH Ave
Suite 116
Topeka, KS 66606-2806
Mailing address
3500 SW 6TH Ave
Suite 116
Topeka, KS 66606-2806
Phone (785) 233-7138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200005510A | Medicaid | KS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1750353959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 SW 6TH AVE",
"address_2": "SUITE 116",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666062806",
"telephone_number": "785-233-7138",
"fax_number": "785-233-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 SW 6TH AVE",
"address_2": "SUITE 116",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666062806",
"telephone_number": "785-233-7138",
"fax_number": "785-233-7089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "KENNETH",
"middle_name": "J",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "0637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200005510A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.