Susan Gail Hansen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2004033020 Issued in MO

Practice address

11155 Fairborough CT
Saint Louis, MO 63146-5600

Phone

(314) 692-8518

NPI assigned

Nov 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Susan Hansen Psychotherapy LLC

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1376327080
  Medicare reassignment Authorized official
• Catholic Family Services Inc.

  • Mental Health Counselor
  • Union, MO
  • NPI 1154480176
  NPD (past)
• St Louis Counseling Inc

  • Voluntary or Charitable Agency
  • Fenton, MO
  • NPI 1053397133
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1326228271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 FAIRBOROUGH CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465600",
            "telephone_number": "314-692-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 FAIRBOROUGH CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465600",
            "telephone_number": "314-692-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "SUSAN",
        "middle_name": "GAIL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004033020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Hansen, MSN, APRN, BC, FNP
• Elke G. Hansen, MSW, LCSW
• Kristin Leigh Hansen, MSW
• Lindsay Hansen Jr.
• Paul David Hansen, M.D.
• Ellen Hanson, LCSW
• Jessica Ruth Hanson, O.D.
• Jonathan Christopher Hanson, ANP
• Joyce Goff Hanson, LCSW
• Kathryn M Hanson, M.D.

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.