Active NPI
Robert E Hanson, LCSW
- Clinical Social Worker
- La Crosse, WI
National Provider Identifier
1003972696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7736-123
- Practice address
- 212 11TH Avenue S.
La Crosse, WI 54601-4116 - Phone
- (608) 392-9555
- Fax
- (608) 392-9432
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 127170 | WI | |
| Clinical Social Worker | 1041C0700X | 7736-123 | WI | Primary |
Addresses
Primary practice location
212 11TH Avenue S.
La Crosse, WI 54601-4116
Mailing address
212 11TH Avenue S.
La Crosse, WI 54601-4116
Phone (608) 392-9555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127170 | WI | MD | Clinical Social Worker |
| 7736-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1003972696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 11TH AVENUE S.",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014116",
"telephone_number": "608-392-9555",
"fax_number": "608-392-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 11TH AVENUE S.",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014116",
"telephone_number": "608-392-9555",
"fax_number": "608-392-9432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "127170",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7736-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.