Deborah Hagan, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8623 Issued in SC

Practice address

248 Adley Way
Greenville, SC 29607-6511

Phone

(864) 406-6041

Fax

(864) 406-6042

NPI assigned

Jun 14, 2006

Last updated

Mar 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inspiration Counseling, LLC

  • Professional Counselor
  • Spartanburg, SC
  • NPI 1609501014
  NPD (past)
• New Vistas-Mountain Laurel, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hendersonville, NC
  • NPI 1710937396

  Clinical

  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1982647848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W CHURCH ST",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291387343",
            "telephone_number": "864-406-6041",
            "fax_number": "864-406-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 ADLEY WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076511",
            "telephone_number": "864-406-6041",
            "fax_number": "864-406-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "DEBORAH",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005113",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1601",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Ernest Hack, MD
• Bassam E Haddad, M.D.
• Devin Haddad
• Kristine Martin Haddon, M.D
• Frances Suzanne Hafner, COTA/L
• Laura Hagen
• Sarah Hagi
• Bonnie Lynn Hagner, RN
• Jeanne M Hahn
• Isaac Haider

• Clinical Social Worker in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.