Individual provider Active NPI

Hannah Davidson, APSW

  • Clinical Social Worker
  • Kenosha, WI
National Provider Identifier
1124773627
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12395-123 Issued in WI
Practice address
4006 Washington Rd
Kenosha, WI 53144-4819
Phone
(262) 656-0044
Fax
(262) 649-1977
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12395-123 WI Primary

Addresses

Primary practice location

4006 Washington Rd
Kenosha, WI 53144-4819

Mailing address

4006 Washington Rd
Kenosha, WI 53144-4819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20251001004575 WI Practitioner - Clinical Social Worker 6406352145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

4536 22ND Ave
Kenosha, WI 53140-5917
Phone (262) 656-0044

6226 14TH Ave
Kenosha, WI 53143-4413
Phone (262) 656-0044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kenosha Community Health Center, Inc CurrentSince Aug 13, 2025 Accepting new patients
Kenosha Community Health Center, Inc. Counselor Current Accepting new patients
Kenosha Community Health Center, Inc. CurrentSince Aug 13, 2025 Accepting new patients

Locations

4006 Washington Rd
Kenosha, WI 53144
Phone (262) 652-4006

4536 22nd Ave
Kenosha, WI 53140
Phone (262) 656-0044

903 S 2nd St
Silver Lake, WI 53170
Phone (262) 656-0044

Interoperability endpoints

  • Direct secure messaging: hdavidson831758@direct.ochin.org

Organizations & group practices 3

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1124773627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444819",
            "telephone_number": "262-656-0044",
            "fax_number": "262-649-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "HANNAH",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12395-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.