MS. MARI ANNE HAGEN (NPI# 1720053994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720053994 |
| Entity Type | Individual |
| Full Name | MS. MARI ANNE HAGEN |
| Credential | LICSW |
| Practice Address |
9040 Fitzsimmons Dr Tacoma WA 98431-1000 |
| Mailing Address |
4123 Country Club Dr Ne Tacoma WA 98422-4621 |
| Practice Telephone | 2539682303 |
| Mailing Telephone | 2539522151 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW00004318 | WA | Behavioral Health & Social Service Providers |
| Street Address |
9040 FITZSIMMONS DR |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669464483 | Michele Stone | Nurse Anesthetist, Certified Registered | 9040 Fitzsimmons Dr, Mced, Tacoma, WA 98431-1000 | 2005-08-18 |
| 1689175143 | Mitchell Anthony Lion | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2018-02-21 |
| 1295054906 | Gregory Robert Pittman | Emergency Medicine | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-19 |
| 1275852139 | Rebecca Megan Ortolano | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-18 |
| 1104144906 | Victor Young Yu | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-04 |
| 1841517604 | Ian D Funnell | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-03 |
| 1609192095 | Michael Lanton | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-04-11 |
| 1538484399 | Paul Mitchell Houghtaling | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-04-05 |
| 1861717217 | Efrain Rivera | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-03-29 |
| 1518280460 | Emilie Belle Duclos Fitzpatrick | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827551 | Heidi Elizabeth Hartz | Social Worker | 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-0001 | 2020-10-08 |
| 1184241556 | Michele Therese Peyton | Social Worker | 4652 E Q St, Tacoma, WA 98404-4528 | 2020-07-01 |
| 1689293433 | Zowa Saysan Thompson | Social Worker | 4847 S 7th St, Tacoma, WA 98405-1206 | 2020-04-12 |
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1740826593 | Kerry Ann Shaughnessy | Social Worker | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2019-11-26 |
| 1669039897 | Katherine Marie Ginn | Social Worker | 1402 S 11th St, Tacoma, WA 98405-3608 | 2019-05-22 |
| 1285112763 | Sheri Lynn Waller | Social Worker | 535 Dock St Ste 108, Tacoma, WA 98402-4629 | 2018-08-06 |
| 1003312612 | Jennifer I. Soto | Social Worker | 1432 N Baltimore St, Tacoma, WA 98406-2702 | 2018-04-03 |
| 1295233955 | Lori A Jensen | Social Worker | 317 M.l.k. Jr Way, Tacoma, WA 98405 | 2018-01-29 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.