Souphaphone Hagan
Clinical Social Worker · Fresno, CA
Souphaphone Hagan is a clinical social worker with a practice address in Fresno, California, and NPI 1205466570, issued on Jan 24, 2020. Check the license (California 107193, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Souphaphone Hagan
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 107193 CA
Self-reported in NPPES; status is on the state search - Practice location
- 496 S Barton Ave, Fresno, CA 93702
- Phone
- (559) 860-4422
- Enumerated
- Jan 24, 2020
- Record last updated
- Sep 11, 2023
- Medicare enrollment
- Enrolled (PECOS I20220615002606); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 36,261 in California → Look up another NPI →
Also registered at 496 S Barton Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brandifaye AdamsCounselor1962132647
- Brenda AlbarranClinical Social Worker1649817495
- Emily AlticeDay Training/Habilitation Specialist1881563542
- Raul AngelLicensed Psychiatric Technician1932610052
- Katherine ArroyoCommunity Health Worker1295482446
- Nauticia AthCounselor1922751239
Verify Souphaphone Hagan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 107193Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Thriveworks Clinical - California PCIrvine, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Souphaphone Hagan among 36,261 clinical social worker records in California
Souphaphone Hagan is one of 36,261 clinical social worker records with a practice address in California. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 72% of them.
- NPI issued2020 · 72% of these records are older, 23% newer
- In a Medicare fileYes · 6% of these records are
- In the CMS Doctors and Clinicians fileYes · 11% of these records are
- Graduated2015 · median 2012 among the 4,008 with a school on file
- Record last updated2023 · 45% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
556 clinical social worker records list a practice address in Fresno
They are 556 of the 19,440 NPPES records with a practice address in Fresno, and 36,261 clinical social worker records in California.
All 36,261 in California → Every provider in Fresno → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Diana Barrera, LCSWFresno, CA 937021295882439
- James Bowman, LCSWFresno, CA 937021740342179
- Romeo Flora-Gomez, LCSWFresno, CA 937021598865594
- Jeffra GayFresno, CA 937021346397908
- Niccoletta Gram, LCSWFresno, CA 937021063569895
- Albert Grasso, LCSWFresno, CA 937021427116813
- Margaret Heffron, LCSWFresno, CA 937021205994449
- Kenneth Mah, LCSWFresno, CA 937021346399813
Common questions
What is Souphaphone Hagan's NPI number?
Souphaphone Hagan's National Provider Identifier (NPI) is 1205466570, issued on Jan 24, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Souphaphone Hagan located?
The NPPES record lists a practice address at 496 S Barton Ave, Fresno, CA, 93702. Phone: (559) 860-4422. Providers update this record themselves, so call before visiting.
How can I verify Souphaphone Hagan's license?
NPPES lists California license number 107193, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.