Deborah D. Hanna, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW3501 Issued in FL

Practice address

100 Executive Way
Suite 113
Ponte Vedra Beach, FL 32082

Phone

(904) 273-6747

Fax

(904) 273-6861

NPI assigned

Oct 11, 2006

Last updated

Sep 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Deborah Wood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deborah D. Hanna LCSW PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponte Vedra Beach, FL
  • NPI 1366684631
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1033208996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320040721",
            "telephone_number": "904-273-6747",
            "fax_number": "904-273-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE WAY",
            "address_2": "SUITE 113",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-273-6747",
            "fax_number": "904-273-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "DEBORAH",
        "middle_name": "D.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "121221900216",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WOOD",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Haldenwang
• Larynn Elizabeth Hall
• Nicolas Matthew Hall
• Erika Rachel Hamer, D.C.
• Kimberly Huggins Hamilton, MS CCC-SLP
• James E Hardy III, M.D.
• Maureen Travers Harper, LMHC
• Harris Teeter, Inc.
• John B Harris, MD
• Theresa Lyon Harris, APRN

• Clinical Social Worker in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.