Active NPI
Colleen M. Hanson, LCSW
- Clinical Social Worker
- Lisle, IL
National Provider Identifier
1265657670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149010328
- Practice address
- 6040 State Route 53 Ste B
Lisle, IL 60532-3394 - Phone
- (630) 524-4000
- Fax
- (630) 524-2311
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 149010328 | IL | Primary |
Addresses
Primary practice location
6040 State Route 53 Ste B
Lisle, IL 60532-3394
Mailing address
6040 State Route 53 Ste B
Lisle, IL 60532-3394
Phone (630) 524-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBS | Other | IL | 022-27624 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 23, 2019 through Jul 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149010328 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1265657670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 STATE ROUTE 53 STE B",
"city": "LISLE",
"state": "IL",
"postal_code": "605323394",
"telephone_number": "630-524-4000",
"fax_number": "630-524-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 STATE ROUTE 53 STE B",
"city": "LISLE",
"state": "IL",
"postal_code": "605323394",
"telephone_number": "630-524-4000",
"fax_number": "630-524-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "COLLEEN",
"middle_name": "M.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149010328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "022-27624",
"identifier": "BCBS",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.