Judith Lynn Hanna, M.S.W., L.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013949 Issued in IL

Practice address

175 Parfitt Way SW
Suite N280
Bainbridge Island, WA 98110

Phone

(206) 317-4570

Fax

(708) 406-1532

NPI assigned

Feb 26, 2007

Last updated

Aug 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hanna Psychotherapy PLLC

  dba Judith L Hanna

  • Clinical Social Worker
  • Bainbridge Island, WA
  • NPI 1144825829
  Authorized official Same address or phone
• Affiliated Clinical Psychologists Limited

  • Psychologist
  • Bloomingdale, IL
  • NPI 1457547457
  NPD (past)
• Center for Integrative and Functional Health and Wellness LLC

  • Multi-Specialty Clinic/Center
  • Bloomingdale, IL
  • NPI 1649748674
  NPD (past)
• Presence Behavioral Health

  dba ProCare Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Melrose Park, IL
  • NPI 1477622298
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1205962917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10310",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981100310",
            "telephone_number": "206-317-4570",
            "fax_number": "708-406-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PARFITT WAY SW",
            "address_2": "SUITE N280",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "98110",
            "telephone_number": "206-317-4570",
            "fax_number": "708-406-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Halgren
• Taya Lahr Hall, LMFT
• Valerie J Halm, LMT
• Kristin Hammer
• Hanna Psychotherapy PLLC (Judith L Hanna)
• Douglas P Hansen, OD
• Sesha Hanson-Drury, DDS
• Angela Spooner Hanson, DPT
• Abigail Harrison
• Healing for Seniors (Esther Bannwart LMP)

• Clinical Social Worker in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.