Amy Hagerstrom, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61133650 Issued in WA

Practice address

17018 15TH Ave NE
Shoreline, WA 98155-5137

Phone

(206) 519-9326

NPI assigned

Apr 22, 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

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1952983637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 10TH AVE E APT A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981024535",
            "telephone_number": "773-726-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17018 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555137",
            "telephone_number": "206-519-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERSTROM",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61133650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ying Guo, DMD PHD
• Alisha Dyan Guthery-Morse, LMHCA
• Sigrid Pakula Guyton, M.D.
• Joel S Hagedorn, M.D.
• Olivia Hagen
• Haggen Inc (Top 21)
• Lisa E Hales, LMP
• Michelle Ann Hall, LMP
• Kirsten Hallock
• Kirsten Rose Hallstrom Henebry, PSYD

• Clinical Social Worker in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.