Active NPI
Laura Ann Hanson, CLINICAL SOC WORKER
- Clinical Social Worker
- Hyattsville, MD
National Provider Identifier
1205566395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4107 Beall St
Hyattsville, MD 20784-2623 - Phone
- (724) 994-0184
- NPI assigned
- Jun 13, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4107 Beall St
Hyattsville, MD 20784-2623
Mailing address
4107 Beall St
Hyattsville, MD 20784-2623
Phone (724) 994-0184
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28459 | Other | MD | STATE LCSWC |
| 0904014056 | Other | VA | STATE LCSW |
| CW019190 | Other | PA | STATE LCSW |
| LC50081478 | Other | DC | STATE LICSW |
Other names 1
- Laura Ann Sanfillipo
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1205566395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 BEALL ST",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207842623",
"telephone_number": "724-994-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 BEALL ST",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207842623",
"telephone_number": "724-994-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "CLINICAL SOC WORKER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LCSWC",
"identifier": "28459",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LCSW",
"identifier": "0904014056",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LCSW",
"identifier": "CW019190",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICSW",
"identifier": "LC50081478",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "SANFILLIPO",
"middle_name": "ANN",
"credential": "CLINICAL SOC WORKER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.