Diane Hagan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1020619 Issued in MA

Practice address

7 Church St
Westborough, MA 01581-1903

Phone

(508) 366-4000

Fax

(508) 870-9991

NPI assigned

Aug 31, 2006

Last updated

Aug 26, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1902917230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHURCH ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811903",
            "telephone_number": "508-366-4000",
            "fax_number": "508-870-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CHURCH ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811903",
            "telephone_number": "508-366-4000",
            "fax_number": "508-870-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP22337",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Gustafson, PA-C
• Marie Jean Guyette, MS, CGC
• Jeffrey Ha, MD
• Madeleine Haas, LICSW
• Lara Haddad, DMD
• Faiyaz H Hakim, MD
• Farah Hakim
• Stephanie E Hallam, PH.D., FACMG
• Toshal S Hallowell, RPH
• Ayala Hamami, MSW, LICSW

• Clinical Social Worker in Westborough, MA
• Providers in Westborough, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.