SOUPHAPHONE HAGAN
NPI 1205466570
Social Worker - Clinical in Fresno, CA
About Souphaphone Hagan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUPHAPHONE HAGAN (NPI 1205466570) is an individual clinical provider in Fresno, California, licensed in California (107193) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Souphaphone Hagan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Souphaphone Hagan's NPI number?
The NPI number for Souphaphone Hagan is 1205466570. It was assigned to this individual provider in the NPPES registry on January 24, 2020.
Where is Souphaphone Hagan located?
Souphaphone Hagan practices at 496 S Barton Ave, Fresno, CA 93702. The listed phone number is (559) 860-4422.
What is Souphaphone Hagan's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Souphaphone Hagan enrolled in Medicare?
Yes. Souphaphone Hagan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Souphaphone Hagan accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Texas list Souphaphone Hagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Souphaphone Hagan was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Souphaphone Hagan · NPI 1205466570
Clinical provider in Fresno, California. Individual provider, active in the CMS NPPES registry since January 24, 2020.
## Identity
- **NPI:** 1205466570 (Entity type: Individual)
- **Enumerated:** January 24, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 107193 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 496 S BARTON AVE, Fresno, CA 93702-2985
- **Phone:** (559) 860-4422
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205466570) · Data from the CMS NPPES public registry.