Individual provider Active NPI

Nella Hahn, LMSW

  • Clinical Social Worker
  • Riverhead, NY
National Provider Identifier
1093985327
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071388 Issued in NY
Practice address
500 Pleasure Dr
Riverhead, NY 11901-4924
Phone
(631) 603-8388
Fax
(631) 369-9819
NPI assigned
Mar 3, 2008
Last updated
Jan 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071388 NY Primary
Clinical Social Worker 1041C0700X 076960 NY

Addresses

Primary practice location

500 Pleasure Dr
Riverhead, NY 11901-4924

Mailing address

500 Pleasure Dr
Riverhead, NY 11901-4924
Phone (631) 603-8388

Other names 1

  • Nella Hahn Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100129000005 NY Practitioner - Clinical Social Worker 3678614427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

74 Encore Blvd
Eastport, NY 11941-1610
Phone (212) 888-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071388NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nella Hahn Counseling LMSW PC Clinical CurrentSince Oct 21, 2009 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1093985327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PLEASURE DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119014924",
            "telephone_number": "631-603-8388",
            "fax_number": "631-369-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PLEASURE DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119014924",
            "telephone_number": "631-603-8388",
            "fax_number": "631-369-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "NELLA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071388",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELLA",
            "last_name": "HAHN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.