Active NPI
Tana Hacken, LCSW
- Clinical Social Worker
- Wayne, NJ
National Provider Identifier
1245395482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00368800
- Practice address
- 7 Wheeler Rd
Wayne, NJ 07470-8209 - Phone
- (973) 633-1728
- Fax
- (973) 633-9143
- NPI assigned
- Dec 27, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00368800 | NJ | Primary |
| Clinical Social Worker | 1041C0700X | R031796-1 | NY |
Addresses
Primary practice location
7 Wheeler Rd
Wayne, NJ 07470-8209
Mailing address
7 Wheeler Rd
Wayne, NJ 07470-8209
Phone (973) 633-1728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q107651 | Other | CAQH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R031796-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245395482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WHEELER RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074708209",
"telephone_number": "973-633-1728",
"fax_number": "973-633-9143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 WHEELER RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074708209",
"telephone_number": "973-633-1728",
"fax_number": "973-633-9143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKEN",
"first_name": "TANA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00368800",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R031796-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "Q107651",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.