Raymond Edward Hagermann III, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801104488 Issued in MI

Practice address

2449 E 12 Mile Rd
Warren, MI 48092-5647

Phone

(586) 510-4992

NPI assigned

Jul 5, 2016

Last updated

Aug 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Raymond Edward Taeger III Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Diagnostic Alcohol and Drug Services LLCGroup PAC ID 8921386509, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Michigan Diagnostic Alcohol and Drug Services LLC

  • Mental Health Counselor
  • Warren, MI
  • NPI 1659729507
  Medicare reassignment Care Compare group NPD
• Fiddlers Green Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterford, MI
  • NPI 1235969585
  NPD Authorized official
• Arab Community Center for Economic and Social Services Access

  • Community/Behavioral Health Agency
  • Dearborn, MI
  • NPI 1619285772
  Medicare reassignment

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1801248760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 PRESTON AVE",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283653",
            "telephone_number": "248-390-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925647",
            "telephone_number": "586-510-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERMANN",
        "first_name": "RAYMOND",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104488",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYMOND",
            "last_name": "TAEGER",
            "middle_name": "EDWARD",
            "prefix": "MR.",
            "suffix": "III",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ayyoub B Haddad, DO
• Ibrahim Abdul Hadi, DPM
• Tarik Hikmat Hadid, MD
• Alicia Hadley, LLMSW
• Tricia Ann Haener, RN
• Ali G Haidar
• Starla Hairston
• Saad Hajeri
• Yasser All Haji, MD
• Diana Hakim-Taila, NP

• Clinical Social Worker in Warren, MI
• Providers in Warren, 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 Aug 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.