Individual provider Active NPI

Ke'Andra L Hagans, MSW, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1841623287
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8196-123 Issued in WI
Practice address
4200 N Holton St Ste 400
Milwaukee, WI 53212-1064
Phone
(414) 810-1535
Fax
(414) 964-0102
NPI assigned
Aug 20, 2013
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 8196-123 WI Primary

Addresses

Primary practice location

4200 N Holton St Ste 400
Milwaukee, WI 53212-1064

Mailing address

3207 N 44TH St
Milwaukee, WI 53216-3541

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128336-121WIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1841623287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 N 44TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N HOLTON ST STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121064",
            "telephone_number": "414-810-1535",
            "fax_number": "414-964-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGANS",
        "first_name": "KE'ANDRA",
        "middle_name": "L",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8196-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.