Active NPI
Michelle Hagerty, LCSW
- Clinical Social Worker
- Tehachapi, CA
National Provider Identifier
1871996322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW132456
- Practice address
- 48771 W Valley Blvd
Tehachapi, CA 93561-2168 - Phone
- (310) 482-9063
- NPI assigned
- Sep 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | LCSW132456 | CA | Primary |
Addresses
Primary practice location
48771 W Valley Blvd
Tehachapi, CA 93561-2168
Mailing address
28201 Burning Tree Dr
Tehachapi, CA 93561-5212
Phone (310) 482-9063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413963770 | Other | CA | TAXID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260611002664 | CA | Practitioner - Clinical Social Worker | 4183196009 | Practice locations: Tehachapi, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Tehachapi, CA 93561
Phone (310) 482-9063
28201 Burning Tree Dr
Tehachapi, CA 93561-5212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW132456 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1871996322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28201 BURNING TREE DR",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935615212",
"telephone_number": "310-482-9063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48771 W VALLEY BLVD",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935612168",
"telephone_number": "310-482-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGERTY",
"first_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-29",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW132456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXID",
"identifier": "413963770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tehachapi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.