Active NPI
Christine Hanna, MSW, LCSW
- Clinical Social Worker
- Orange, CA
National Provider Identifier
1174665343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW82185
- Practice address
- 401 S Tustin St BLDG B
Orange, CA 92866-2550 - Phone
- (714) 244-4322
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13252 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW82185 | CA | Primary |
Addresses
Primary practice location
401 S Tustin St BLDG B
Orange, CA 92866-2550
Mailing address
1060 East Hills Dr.
West Covina, CA 91791
Phone (626) 915-2767
Other practice location 1
1160 Grand Ave.
Glendora, CA 91740
Phone (626) 335-5930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Other | CA | REGISTERED MSW |
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 |
|---|---|---|---|
| 13252 | CA | MD | Mental Health Counselor |
| LCSW82185 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Theraputic Center LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Long Beach, CA
- NPI 1912476854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1174665343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 EAST HILLS DR.",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "91791",
"telephone_number": "626-915-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S TUSTIN ST BLDG B",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662550",
"telephone_number": "714-244-4322"
}
],
"practiceLocations": [
{
"address_1": "1160 Grand Ave.",
"address_purpose": "LOCATION",
"city": "Glendora",
"state": "CA",
"postal_code": "91740",
"country_code": "US",
"telephone_number": "626-335-5930",
"fax_number": "626-335-5989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "CHRISTINE",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "13252",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW82185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED MSW",
"identifier": "101YM0800X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.