Active NPI
Mary J Vontersch Hanno, MSW LISW
- Clinical Social Worker
- Sioux City, IA
National Provider Identifier
1336207976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 762
- Practice address
- 3133 Floyd Blvd
Sioux City, IA 51108 - Phone
- (712) 239-0392
- Fax
- (712) 239-0824
- NPI assigned
- Dec 5, 2006
- 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 | 762 | IA | Primary |
Addresses
Primary practice location
3133 Floyd Blvd
Sioux City, IA 51108
Mailing address
3133 Floyd Blvd
Sioux City, IA 51108
Phone (712) 239-0392
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 073590 | Medicaid | NE | |
| 0242461 | Medicaid | IA | |
| 41938 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3133 Floyd Blvd
Sioux City, IA 51108-1419
Phone (712) 239-0392
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00762 | IA | MD | Clinical Psychologist |
| 762 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick a. Walding DC PC | Current | Accepting new patients | |
| Hanno Therapy Services Inc | Clinical | Current | Accepting new patients |
Locations
3133 Floyd Blvd
Sioux City, IA 51108
Phone (712) 239-0392
3439 Glen Oaks Blvd
Sioux City, IA 51104
Phone (712) 239-0392
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Sioux City, IA
- NPI 1811234552
-
- Chiropractor
- Sioux City, IA
- NPI 1174874259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336207976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3133 FLOYD BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "51108",
"telephone_number": "712-239-0392",
"fax_number": "712-239-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3133 FLOYD BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "51108",
"telephone_number": "712-239-0392",
"fax_number": "712-239-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONTERSCH HANNO",
"first_name": "MARY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MSW LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "762",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "073590",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0242461",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "41938",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.