STACEY JEAN HAGEN LCSWC
NPI 1063493823
Social Worker in Annapolis, MD

Active since November 09, 2005Opted out of Medicare · through Jul 1, 2027
49 OLD SOLOMONS ISLAND RD, STE 303, ANNAPOLIS, MD 21401(410) 573-1944(410) 573-1972 Get Directions Write a Review

NPPES record last updated: July 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Jean Hagen Lcswc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY JEAN HAGEN LCSWC (NPI 1063493823) is an individual social worker in Annapolis, Maryland, licensed in Maryland (08288) and active in the NPI registry since November 2005. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1063493823
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSTACEY JEAN HAGENCredential: LCSWC
Location Address49 OLD SOLOMONS ISLAND RD, STE 303Annapolis, MD 21401-3854
Mailing Address1509 Ritchie Hwy, Ste FArnold, MD 21012-2742 · (410) 757-2077 · Fax (410) 757-5184
Fax(410) 573-1972
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateJuly 18, 2010
NPI 1063493823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MD · 08288
Definition
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.
49 OLD SOLOMONS ISLAND RD, Annapolis, MD 21401

Other Identifiers 1

Medicare ID-Type Unspecified222L1120MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Stacey Jean Hagen Lcswc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2021 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2021
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
49 OLD SOLOMONS ISLAND RD, STE 303
ANNAPOLIS, MD 21401
Psychologist
49 OLD SOLOMONS ISLAND RD, STE 303
ANNAPOLIS, MD 21401
Psychologist
49 OLD SOLOMONS ISLAND RD, STE 303
ANNAPOLIS, MD 21401
Psychologist (Counseling)
49 OLD SOLOMONS ISLAND RD, SUITE 200
ANNAPOLIS, MD 21401
Psychiatry & Neurology (Psychiatry)
49 OLD SOLOMONS ISLAND RD, STE 303
ANNAPOLIS, MD 21401
Clinic/Center (Adult Mental Health)
49 OLD SOLOMONS ISLAND RD, SUITE 200
ANNAPOLIS, MD 21401
Social Worker (Clinical)
49 OLD SOLOMONS ISLAND RD, 200
ANNAPOLIS, MD 21401
Counselor
49 OLD SOLOMONS ISLAND RD, STE 303
ANNAPOLIS, MD 21401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Hagen's NPI number?

The NPI number for Stacey Hagen is 1063493823. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Stacey Hagen located?

Stacey Hagen practices at 49 Old Solomons Island Rd Ste 303, Annapolis, MD 21401. The listed phone number is (410) 573-1944.

What is Stacey Hagen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Stacey Hagen enrolled in Medicare?

No. Stacey Hagen has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stacey Hagen was last updated on July 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.