Hannah Feldhaus

Individual provider Active NPI Clinical Social Worker · Leaf River, IL

NPI 1265159495 · NPPES record last updated Oct 27, 2022

Key facts

NPI
1265159495
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149024977 (IL)
Practice address
1491 E Plum Hill Rd
Leaf River, IL 61047-9428
Phone
(815) 299-1507
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
149024977ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149024977 IL Yes

Addresses

Primary practice location

1491 E Plum Hill Rd
Leaf River, IL 61047-9428

Mailing address

1491 E Plum Hill Rd
Leaf River, IL 61047-9428
Phone (815) 299-1507

Electronic endpoints

TypeEndpointUseAffiliation
Other URL BetterHelp

Other providers in Leaf River, IL

All providers in Leaf River, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.