Individual provider Active NPI

Jade Hagood, LMSW

  • Social Worker
  • Eagle, ID
National Provider Identifier
1912817370
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4081931 Issued in ID
Practice address
1025 S Bridgeway PL Ste 280
Eagle, ID 83616-6834
Phone
(208) 412-7740
Fax
(208) 853-1318
NPI assigned
Sep 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4081931 ID Primary

Addresses

Primary practice location

1025 S Bridgeway PL Ste 280
Eagle, ID 83616-6834

Mailing address

974 N Maple Grove Rd Apt M202
Boise, ID 83704-7824
Phone (208) 412-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1912817370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 N MAPLE GROVE RD APT M202",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047824",
            "telephone_number": "208-412-7740",
            "fax_number": "208-853-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S BRIDGEWAY PL STE 280",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166834",
            "telephone_number": "208-412-7740",
            "fax_number": "208-853-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOOD",
        "first_name": "JADE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "4081931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.