| Doctor Name: | SARAH HAGEN |
| NPI Number: | 1053681288 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904007815 |
| Business Practice Address: | 129 Park St Ne Ste 10a Vienna, VA - 221804606 |
| Business Phone Number: | 7034018571 |
| Business Fax Number: | |
| Mailing Address: | 129 Park St Ne Ste 10a, VIENNA |
| State: | VA |
| Postal Code: | 221804606 |
| Phone Number: | 7034018571 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2012 |
| NPI Last Update Date: | 01/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904007815 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |