Benjamin Gray Hagaman, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.114643 Issued in IL

Practice address

5537 N Clark St # B-1
Chicago, IL 60640-0751

Phone

(312) 675-4424

NPI assigned

Feb 12, 2025

Sex

Male

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

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1861207276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 W MELROSE ST APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5537 N CLARK ST # B-1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606400751",
            "telephone_number": "312-675-4424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "739 W Melrose St Apt 2F",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573462",
            "country_code": "US",
            "telephone_number": "312-675-4424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAMAN",
        "first_name": "BENJAMIN",
        "middle_name": "GRAY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.114643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Roger Hafeman, MD
• Thomas James Haferkamp, MD
• Maria Haffar, DDS
• Brooke Hafif
• Douglas Hafner, DDS
• Christopher R Hagan, PT, DPT
• Matthew Jack Hagan, MD
• Brandon Hage
• Jacklyn M Hagedorn, MD
• Colton Hageman, MD

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.