Organization Active NPI

Hannah Carlson LCSW PLLC

Doing business as Hannah Carlson LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1295383651
Registry record updated Jun 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HANNAH CARLSON LCSW PLLC
Doing business as
Hannah Carlson LCSW
Practice address
2539 N Kedzie Blvd Ste 4
Chicago, IL 60647-1435
Phone
(312) 425-4372
NPI assigned
Aug 29, 2019
Last updated
Jun 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2022

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

Authorized official

Name
Hannah Carlson, LCSWNPI 1639611601
Title
Psychotherapist
Phone
(312) 425-4372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2539 N Kedzie Blvd Ste 4
Chicago, IL 60647-1435

Mailing address

2539 N Kedzie Blvd Ste 4
Chicago, IL 60647-1435
Phone (312) 425-4372

Other names 1

  • Hannah Carlson LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

3317 W Fullerton Ave
Chicago, IL 60647

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656115200000",
    "number": "1295383651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 N KEDZIE BLVD STE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471435",
            "telephone_number": "312-425-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 N KEDZIE BLVD STE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471435",
            "telephone_number": "312-425-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH CARLSON LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "312-425-4372",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hannah Carlson LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hannah Carlson LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.