Individual provider Active NPI

Caroline Lee Hann

  • Clinical Social Worker
  • Lavale, MD
National Provider Identifier
1124798772
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27043 Issued in MD
Practice address
922 National Hwy
Lavale, MD 21502-7325
Phone
(240) 362-7294
Fax
(240) 362-7366
NPI assigned
Sep 15, 2021
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 27043 MD Primary
Clinical Social Worker 1041C0700X 44SC05358200 NJ

Addresses

Primary practice location

922 National Hwy
Lavale, MD 21502-7325

Mailing address

1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724
Phone (855) 284-7483

Other practice location 1

7 Lincoln Hwy Ste 224
Edison, NJ 08820-3965
Phone (855) 284-7483

Other identifiers 1

IdentifierTypeStateIssuer
2E1604MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address caroline.hann@wvumedicine.org
Direct Messaging Address caroline.hann@wvumedicine.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27043MDMDClinical Social Worker
44SC05358200NJMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: chann333391@direct.wvuhsdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1124798772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JEFFERSON ST STE 2C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041724",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027325",
            "telephone_number": "240-362-7294",
            "fax_number": "240-362-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Lincoln Hwy Ste 224",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203965",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANN",
        "first_name": "CAROLINE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27043",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05358200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2E1604",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline.hann@wvumedicine.org",
            "affiliation": "N",
            "address_1": "922 National Hwy",
            "city": "Lavale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215027325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline.hann@wvumedicine.org",
            "affiliation": "N",
            "address_1": "922 National Hwy",
            "city": "Lavale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215027325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lavale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.