Active NPI
Tammy Ashlyn Hanson, LCSW, MAC, LCAS, CCS
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1154980548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006979
- Practice address
- 2240 Park Rd
Charlotte, NC 28203-5941 - Phone
- (704) 372-6969
- Fax
- (704) 335-0176
- NPI assigned
- Jun 10, 2019
- 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 | C006979 | NC | Primary |
Addresses
Primary practice location
2240 Park Rd
Charlotte, NC 28203-5941
Mailing address
2240 Park Rd
Charlotte, NC 28203-5941
Phone (704) 372-6969
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 |
|---|---|---|---|
| C006979 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dilworth Center for Chemical Dependency | Past | Accepting new patients | |
| The Dilworth Center for Chemical Dependency | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Charlotte, NC
- NPI 1316497795
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Charlotte, NC
- NPI 1770560732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1154980548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035941",
"telephone_number": "704-372-6969",
"fax_number": "704-335-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035941",
"telephone_number": "704-372-6969",
"fax_number": "704-335-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "TAMMY",
"middle_name": "ASHLYN",
"name_prefix": "Mrs.",
"credential": "LCSW, MAC, LCAS, CCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.