Deborah D. Hanna LCSW PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DEBORAH D. HANNA LCSW PA

Practice address

100 Executive Way
Suite 113
Ponte Vedra Beach, FL 32082-2715

Phone

(904) 273-6747

Fax

(904) 273-6861

NPI assigned

Apr 1, 2009

Last updated

Apr 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Deborah D Hanna, LCSWNPI 1033208996

Title

Owner

Phone

(904) 273-6747

Specialties & licenses 1

Addresses

Locations

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.

• Deborah D. Hanna, LCSW

  • Clinical Social Worker
  • Ponte Vedra Beach, FL
  • NPI 1033208996
  Authorized official Same address or phone

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1366684631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320040721",
            "telephone_number": "904-273-6747",
            "fax_number": "904-273-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE WAY",
            "address_2": "SUITE 113",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822715",
            "telephone_number": "904-273-6747",
            "fax_number": "904-273-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH D. HANNA LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-273-6747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David T Harvey MD PA (Ponte Vedra Dermatology & Aesthetic Surgery)
• Alyssa Leblanc Davis, CF-SLP
• Stephanie Davis
• Kristen Nicole De Bonis, D.M.D.
• Megan E Deacon-Casey, MD
• John Michael Dellaporta, D.M.D.
• Desmond Bell, DPM. CWS, P.a.
• Melanie P Desmond, M.A. SLP-CCC
• Carolyn Irene Dewane, RD,LD
• Diagnostic Imaging PA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.