JESSICA ANNE HAGEDORN NPI 1619581642

NPI Information

NPI: 1619581642
Provider Name: JESSICA ANNE HAGEDORN
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
3651 BELL BLVD
BAYSIDE, NY
ZIP 11361
Phone: (347) 893-8777
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Jessica Anne Hagedorn is a social worker in Bayside, NY. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Jessica Anne Hagedorn NPI is 1619581642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3651 BELL BLVD
BAYSIDE, NY
ZIP 11361-169
Phone: (347) 893-8777

The enumeration date for this NPI number is 9/8/2020 and was last updated on 6/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		112804	NEW YORK	Yes
2	171M00000X	Case Manager/Care Coordinator				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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