Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Anne Hagedorn

Individual provider Case Manager/Care Coordinator · NPI 1619581642

Jessica Anne Hagedorn is a Case Manager/Care Coordinator in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3651 Bell Blvd
Bayside, NY 11361-2169
Phone: (347) 893-8777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 112804 (NY)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1619581642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 8, 2020
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

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