Colleen L Hagan Lcsw Inc in Marietta - Clinical
Colleen L Hagan Lcsw Inc - NPI 1396800819
Colleen L Hagan Lcsw Inc is a Clinical in Marietta, Georgia. Colleen L Hagan Lcsw Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Colleen L Hagan Lcsw Inc is 1396800819. The last update date is 2020-08-22.
Colleen L Hagan Lcsw Inc's current location address is 1640 Powers Ferry Rd Se, Marietta, Georgia. You can contact this provider via phone number 6784691409 and fax number 7708581700. The mailing address for Colleen L Hagan Lcsw Inc is 1640 Powers Ferry Rd Se, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Colleen L Hagan Lcsw Inc |
|---|---|
| Address | 1640 Powers Ferry Rd Se, Marietta, Georgia |
| Phone Number | 6784691409 |
| Fax Number | 7708581700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hagan L Colleen |
| Credentials | LCSW |
| Telephone Number | 6784691409 |
NPI Number Detail
| NPI Number | 1396800819 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1640 Powers Ferry Rd Se |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300675491 |
| Phone Number | 6784691409 |
| Fax Number | 7708581700 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW001379 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89005 | GA | VALUE OPTIONS | |
| 1295714442 | GA | NPI COLLEEN L HAGAN INDIV |
Post Comment/ Review Below
What is the unique identifier code issued to Colleen L Hagan Lcsw Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Colleen L Hagan Lcsw Inc has been assigned the NPI (National Provider Identifier) 1396800819. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Colleen L Hagan Lcsw Inc is geographically located?
The Colleen L Hagan Lcsw Inc is physically situated at the following location: 1640 Powers Ferry Rd Se, Marietta, GA, 300675491.
What is the Colleen L Hagan Lcsw Inc's area of specialization and corresponding taxonomy classification?
The Colleen L Hagan Lcsw Inc's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Colleen L Hagan Lcsw Inc receive the assignment of its 1396800819 from the Centers for Medicare & Medicaid Services?
The Colleen L Hagan Lcsw Inc was issued its 1396800819 by the Centers for Medicare & Medicaid Services on 2006-12-26.
As of what date were the details related to Colleen L Hagan Lcsw Inc most recently updated or revised?
The information pertaining to Colleen L Hagan Lcsw Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.