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

Tim John Hagge, LCSW

Individual provider Clinical Social Worker · NPI 1073953014

Tim John Hagge, LCSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

818 NW 17th Ave Ste 10
Portland, OR 97209-2327
Phone: (503) 309-3978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L2408 (OR)

Record details

NPI number1073953014
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 3, 2013
Last updated in NPPESJuly 3, 2013

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