Individual provider Active NPI

Jennifer L. Hagen, LCSW, LIMHP

  • Clinical Social Worker
  • Walton, NE
National Provider Identifier
1841341476
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3274 Issued in NE
Practice address
PO Box 471
Walton, NE 68461-0471
Phone
(402) 913-0270
NPI assigned
Jan 12, 2007
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1250 NE
Clinical Social Worker 1041C0700X 3274 NE Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

PO Box 471
Walton, NE 68461-0471

Mailing address

PO Box 471
Walton, NE 68461-0471
Phone (402) 913-0270

Other identifiers 1

IdentifierTypeStateIssuer
100252730-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20071107000478 NE Practitioner - Clinical Social Worker 7810084852 Reassigns benefits to 1 organization
Practice locations: Lincoln, NE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Nebraska College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8920 Buckskin CT
Lincoln, NE 68520-1185
Phone (402) 913-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1250NEMDSocial Worker
3274NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
JH Wellness Services, LLC Clinical CurrentSince Jun 1, 2018 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1841341476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "WALTON",
            "state": "NE",
            "postal_code": "684610471",
            "telephone_number": "402-913-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "WALTON",
            "state": "NE",
            "postal_code": "684610471",
            "telephone_number": "402-913-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW, LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1250",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "3274",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252730-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walton, NE

Sources for this page

Verify at the official NPI Registry.