Brooke Marie Hagadus

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149018377 Issued in IL

Practice address

305 N Vine St
New Lenox, IL 60451-1643

Phone

(815) 320-3749

NPI assigned

Jul 27, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Kennedy Center for Counseling, P.C.

  • Mental Health Counselor
  • New Lenox, IL
  • NPI 1538569058
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1861165771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SOMERSET CT",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604463988",
            "telephone_number": "815-693-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N VINE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511643",
            "telephone_number": "815-320-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGADUS",
        "first_name": "BROOKE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gynecologic Surgery & Menopause Solutions PC
• Christina M Hack, LCSW
• Christopher Lee Hack, ATC
• Cassandra Lan Haddon
• Mazen Hadid, M.D
• Hallow Health and Psychiatric Services LLC
• Noura Hamoui, PHARMD
• Julie Hannigan
• Dawn Aurora Hanzie
• David Harezlak, DPT

• Clinical Social Worker in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.