Provider Demographics
NPI:1326694928
Name:HAGLE, NATALIE (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:HAGLE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 MEADOWVIEW RD
Mailing Address - Street 2:
Mailing Address - City:FORESTON
Mailing Address - State:MN
Mailing Address - Zip Code:56330-9419
Mailing Address - Country:US
Mailing Address - Phone:320-200-1103
Mailing Address - Fax:
Practice Address - Street 1:218 MEADOWVIEW RD
Practice Address - Street 2:
Practice Address - City:FORESTON
Practice Address - State:MN
Practice Address - Zip Code:56330-9419
Practice Address - Country:US
Practice Address - Phone:320-200-1103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-11
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1111651041C0700X
MN265721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical