Annabella Zamara Hagen in Provo - Clinical
Annabella Zamara Hagen - NPI 1922101245
Annabella Zamara Hagen is a Clinical in Provo, Utah. Annabella Zamara Hagen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Annabella Zamara Hagen is 1922101245. The last update date is 2012-04-07.
Annabella Zamara Hagen's current location address is 3549 N University Ave, Provo, Utah. You can contact this provider via phone number 8014271054 and fax number 8013750348. The mailing address for Annabella Zamara Hagen is 3549 N University Ave, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Annabella Zamara Hagen |
|---|---|
| Address | 3549 N University Ave, Provo, Utah |
| Phone Number | 8014271054 |
| Fax Number | 8013750348 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1922101245 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2012-04-07 |
Provider Mailing Address Detail
| Address | 3549 N University Ave |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846044487 |
| Phone Number | 8014271054 |
| Fax Number | 8013750348 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 47266403501 |
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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 |
|---|---|---|---|
| 4726640-3501 | UT | LICENSED CLINICAL SOCIAL WORKE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Annabella Zamara Hagen by the Centers for Medicare & Medicaid Services?
The Annabella Zamara Hagen has been issued the NPI (National Provider Identifier) 1922101245 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Annabella Zamara Hagen is physically located?
The Annabella Zamara Hagen is situated at the following address: 3549 N University Ave, Provo, UT 846044487.
What is Annabella Zamara Hagen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Annabella Zamara Hagen is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Annabella Zamara Hagen receive the assignment of its 1922101245 from the Centers for Medicare & Medicaid Services?
The Annabella Zamara Hagen was issued its 1922101245 by the Centers for Medicare & Medicaid Services on 2006-09-06.
As of what date was the information pertaining to Annabella Zamara Hagen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Annabella Zamara Hagen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-07.