Sara T Hansen, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16130 Issued in SC

Practice address

204 W Hill Blvd
Joint Base Charleston, SC 29404-4704

Phone

(843) 963-6880

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1104426469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W HILL BLVD",
            "city": "JOINT BASE CHARLESTON",
            "state": "SC",
            "postal_code": "294044704",
            "telephone_number": "843-963-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W HILL BLVD",
            "city": "JOINT BASE CHARLESTON",
            "state": "SC",
            "postal_code": "294044704",
            "telephone_number": "843-963-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "SARA",
        "middle_name": "T",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760596480",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmin Cribb
• Harrison Dilworth, MD
• Jerry Mark Fletcher, RPH
• David Joseph Fulbrook, DO
• Whitney Mark Galloway, PA-C
• Samantha Marie Knapp, PA-C
• Laura Mansfield
• Cynthia Marshall, LISW-CP
• Shane M Martin, PHARM. D
• Alaine Mills, R.D.

• Clinical Social Worker in Joint Base Charleston, SC
• Providers in Joint Base Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.