Individual provider Active NPI

Tara Jo Hanson, LSCW

  • Social Worker
  • Bismarck, ND
National Provider Identifier
1033690458
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5614 Issued in ND
Practice address
1320 W Century Ave
Bismarck, ND 58503-0918
Phone
(701) 751-0443
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5614 ND Primary

Addresses

Primary practice location

1320 W Century Ave
Bismarck, ND 58503-0918

Mailing address

1320 W Century Ave
Bismarck, ND 58503-0918
Phone (701) 751-0443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521004398 ND Practitioner - Clinical Social Worker 3173027315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1320 W Century Ave
Bismarck, ND 58503-0918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5614NDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Decoteau Trauma-Informed Care & Practice, PLLC CurrentSince Mar 23, 2026 Accepting new patients

Locations

1320 W Century Ave
Bismarck, ND 58503
Phone (701) 751-0443

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4333/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1033690458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030918",
            "telephone_number": "701-751-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030918",
            "telephone_number": "701-751-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "TARA",
        "middle_name": "JO",
        "credential": "LSCW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.