Organization Active NPI

Alicia Hans LCSW

  • Clinical Social Worker
  • Fond Du Lac, WI
National Provider Identifier
1184369142
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALICIA HANS LCSW
Practice address
21 N Portland St Ste 2B
Fond Du Lac, WI 54935-3465
Phone
(920) 630-1324
Fax
(920) 479-2870
NPI assigned
May 3, 2022
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Alicia Hans, LCSWNPI 1962982421
Title
Owner
Phone
(920) 630-1324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

21 N Portland St Ste 2B
Fond Du Lac, WI 54935-3465

Mailing address

21 N Portland St Ste 2B
Fond Du Lac, WI 54935-3465
Phone (920) 630-1324

Other identifiers 2

IdentifierTypeStateIssuer
1000880618MedicaidWI
1962982421OtherWINPI

Other names 1

  • Alicia Hans LCSW LLC Other name

National Provider Directory

National Provider Directory

Locations

21 N Portland St
Ste 2B
Fond du Lac, WI 54935
Phone (920) 630-1324

815 Wisconsin Ave
North Fond du Lac, WI 54937

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1184369142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N PORTLAND ST STE 2B",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353465",
            "telephone_number": "920-630-1324",
            "fax_number": "920-479-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N PORTLAND ST STE 2B",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353465",
            "telephone_number": "920-630-1324",
            "fax_number": "920-479-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA HANS LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "HANS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-630-1324",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000880618",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962982421",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alicia Hans LCSW LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.