National Provider Identifier
Diane Carol Hagerdon, LCSW-R
Diane Carol Hagerdon, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 234-1722.
Profile Overview
- NPI
- 1013107085
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 26, 2007
- Last Updated
- March 04, 2008
Practice Location
- 100 Allens Creek RD
- Rochester, NY 14618-3303
Phone: (585) 234-1722
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1013107085
- Entity Type
- Individual
- Last Name
- Hagerdon
- First Name
- Diane
- Middle Name
- Carol
- Name Prefix
- MS.
- Credential
- LCSW-R
- Mailing Street Address
- 100 Allens Creek RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-3303
- Mailing Country
- US
- Mailing Phone
- (585) 234-1722
- Practice Street Address
- 100 Allens Creek RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-3303
- Practice Country
- US
- Practice Phone
- (585) 234-1722
- Enumeration Date
- July 26, 2007
- Last Updated
- March 04, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)