Lisa Ann Hagerich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW024906 Issued in PA

Practice address

638 Ferndale Ave
Johnstown, PA 15905-3946

Phone

(814) 288-4961

NPI assigned

Oct 3, 2019

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Ann Adams Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Victim Services Inc.

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1174914717
  Medicare reassignment NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1750922522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 VINE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012906",
            "telephone_number": "814-288-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 FERNDALE AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053946",
            "telephone_number": "814-288-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERICH",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ADAMS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gynecology Care Specialists, LLC
• Madeline Gyure, PT
• Usama Habib, MD
• Samir A Hadeed, M.D.
• Haffar Pulmonary Care PC
• Melissa Haggerty
• Michael S Hahm, MD
• Alexis Hahn
• Melissa Haines, BCBA
• Abbey Leigh Halula

• Clinical Social Worker in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.