Kimberly M Hagen in Bondurant - Clinical

Kimberly M Hagen - NPI 1518972272

Kimberly M Hagen is a Clinical in Bondurant, Iowa. Kimberly M Hagen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberly M Hagen is 1518972272. The last update date is 2023-02-28.

Kimberly M Hagen's current location address is 78 Landon Dr Nw, Bondurant, Iowa. You can contact this provider via phone number 6414859865. The mailing address for Kimberly M Hagen is 78 Landon Dr Nw, Bondurant, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly M Hagen
Address 78 Landon Dr Nw, Bondurant, Iowa
Phone Number 6414859865
Fax Number
Sole Proprietor N
Credentials LISW

NPI Number Detail

NPI Number 1518972272
Provider Enumeration Date 2006-07-30
Last Updated Date 2023-02-28

Provider Mailing Address Detail

Address 78 Landon Dr Nw
City Bondurant
State Iowa (IA)
Post Code 500352618
Phone Number 6414859865
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 16703
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
321119 IA VALUE OPTIONS
58230 IA --
5823 IA BCBS
250491 IA MIDLANDS CHOICE
124961 IA HEALTH ALLIANCE

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FAQs about Kimberly M Hagen

What is the Kimberly M Hagen's unique identification number?

The Kimberly M Hagen has been assigned the NPI (National Provider Identifier) Number 1518972272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Kimberly M Hagen is located?

The Kimberly M Hagen is situated at the following address: 78 Landon Dr Nw, Bondurant, IA, 500352618.

What is the Kimberly M Hagen's area of specialization and corresponding taxonomy classification?

The Kimberly M Hagen'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 Kimberly M Hagen receive its 1518972272 assignment from the Centers for Medicare & Medicaid Services?

The Kimberly M Hagen was assigned its 1518972272 on 2006-07-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Kimberly M Hagen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kimberly M Hagen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-02-28.

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