Active NPI
Hannah Demmon, LCSW
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1144080987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11597-123
- Practice address
- 777 North Jefferson St
Suite 408 PMB 1280
Milwaukee, WI 53202 - Phone
- (262) 393-0316
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11597-123 | WI | Primary |
Addresses
Primary practice location
777 North Jefferson St
Suite 408 PMB 1280
Milwaukee, WI 53202
Mailing address
777 North Jefferson St
Suite 408 PMB 1280
Milwaukee, WI 53202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11597-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1144080987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 NORTH JEFFERSON ST",
"address_2": "SUITE 408 PMB 1280",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 NORTH JEFFERSON ST",
"address_2": "SUITE 408 PMB 1280",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53202",
"telephone_number": "262-393-0316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMMON",
"first_name": "HANNAH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "11597-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.