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Contact Information

EMILY M HAGMAN, LCSW
3400 W NEW LEAF LN
PEORIA, IL61615
 Phone: 309-589-1011
 Fax: 309-589-1019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for EMILY M HAGMAN · (Female)

NPI Number 1427339779
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/31/2011
Last updated 09/07/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 149.016797
  • IL Medicaid 1639231731
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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