Individual provider Active NPI

Carolyn Janet Hansen, L.C.S.W.-C.

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1285806240
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06500 Issued in MD
Practice address
4400 E West Hwy
Suite 28
Bethesda, MD 20814-4524
Phone
(301) 986-1479
Fax
(301) 986-7805
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06500 MD Primary

Addresses

Primary practice location

4400 E West Hwy
Suite 28
Bethesda, MD 20814-4524

Mailing address

8836 Bay Ave.
P.O. Box 25
North Beach, MD 20714-0025
Phone (301) 625-8414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000782 MD Practitioner - Clinical Social Worker 5698952125 Reassigns benefits to 1 organization
Practice locations: North Beach, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8836 Bay Ave
North Beach, MD 20714-4032
Phone (301) 332-4568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06500MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kairos Center Maryland, Inc CurrentSince Aug 1, 2019 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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1285806240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 BAY AVE.",
            "address_2": "P.O. BOX 25",
            "city": "NORTH BEACH",
            "state": "MD",
            "postal_code": "207140025",
            "telephone_number": "301-625-8414",
            "fax_number": "202-315-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E WEST HWY",
            "address_2": "SUITE 28",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144524",
            "telephone_number": "301-986-1479",
            "fax_number": "301-986-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CAROLYN",
        "middle_name": "JANET",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.-C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.