Organization Active NPI

Hannah Engelken LLC

  • Clinical Social Worker
  • Essex Junction, VT
National Provider Identifier
1356844195
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HANNAH ENGELKEN LLC
Practice address
10 Greenbriar Dr
Essex Junction, VT 05452-3904
Phone
(802) 578-3776
NPI assigned
Mar 16, 2018
Last updated
Mar 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Authorized official

Name
Hannah Engelken, LICSWNPI 1770930398
Title
Manager
Phone
(802) 578-3776

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X VT Primary

Addresses

Primary practice location

10 Greenbriar Dr
Essex Junction, VT 05452-3904

Mailing address

10 Greenbriar Dr
Essex Junction, VT 05452-3904
Phone (802) 578-3776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180814002155 VT Part B Supplier - Clinic/Group Practice 7315296050 Receives reassigned benefits from 1 practitioner
Practice locations: South Burlington, VT

National Provider Directory

National Provider Directory

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": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1356844195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GREENBRIAR DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523904",
            "telephone_number": "802-578-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GREENBRIAR DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523904",
            "telephone_number": "802-578-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH ENGELKEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "ENGELKEN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "802-578-3776",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.