Active NPI
Calvin Hanson, MSW
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1285365304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11851-123
- Practice address
- 1845 N Farwell Ave Ste 218
Milwaukee, WI 53202-1715 - Phone
- (262) 737-4120
- NPI assigned
- Jun 20, 2022
- Reactivated
- Nov 16, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 11851-123 | WI | Primary |
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
1845 N Farwell Ave Ste 218
Milwaukee, WI 53202-1715
Mailing address
1785 N Water St Apt 1531
Milwaukee, WI 53202-1273
Phone (262) 737-4120
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11851-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreside Therapies | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1285365304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1785 N WATER ST APT 1531",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532021273",
"telephone_number": "262-737-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 N FARWELL AVE STE 218",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532021715",
"telephone_number": "262-737-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "CALVIN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-20",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"deactivation_date": "2022-09-09",
"reactivation_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "11851-123",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.