Souphaphone Hagan
NPI 1205466570 · Clinical Social Worker · Fresno, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Souphaphone Hagan is a Clinical Social Worker provider in Fresno, CA (NPI 1205466570).
Provider details
- NPI number
- 1205466570
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 107193 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-01-24
- Last updated
- 2023-09-11
- Certified
- 2023-08-31
Frequently asked questions
- What is Souphaphone Hagan's NPI number?
- Souphaphone Hagan's National Provider Identifier (NPI) is 1205466570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Souphaphone Hagan's specialty?
- Souphaphone Hagan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Souphaphone Hagan located?
- Souphaphone Hagan's practice location on file with NPPES is 496 S Barton Ave, Fresno, CA 93702-2985.
- What is Souphaphone Hagan's phone number?
- The practice phone number listed in the NPPES registry for Souphaphone Hagan is (559) 860-4422.
- Does Souphaphone Hagan accept Medicare?
- Souphaphone Hagan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Souphaphone Hagan's NPI active?
- Yes — Souphaphone Hagan's NPI (1205466570) is active in the NPPES registry as of the last update on 2023-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.