Gary Hannoch, LCSW, QCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

991358 Issued in CO

Practice address

2975 Valmont Rd Ste 310
Boulder, CO 80301-1361

Phone

(303) 546-8620

NPI assigned

May 13, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bailey Hannoch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1104093699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18521",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803081521",
            "telephone_number": "303-546-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 VALMONT RD STE 310",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011361",
            "telephone_number": "303-546-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNOCH",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "LCSW, QCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "HANNOCH",
            "credential": "LCSW, QCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anne V Hanks, PT
• Kevin W Hanley, M.D.
• Douglas Len Hanna, MS PT
• Robert Arthur Hannagan, DDS
• Hannah Rose Therapy LLC
• Heather Hans
• Jacob Hans, D.C.
• Olivia Hansberry
• Christine C Hansen, M.D.
• Kelly Collier Hansen, DPT

• Clinical Social Worker in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.