Individual provider Active NPI

Cristina Lorenz-Hansen, LCSW

  • Clinical Social Worker
  • Cumming, GA
National Provider Identifier
1396388666
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004193 Issued in GA
Practice address
110 Samaritan Dr Ste 110
Cumming, GA 30040-2569
Phone
(888) 850-4891
NPI assigned
Oct 19, 2019
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW004193 GA Primary

Addresses

Primary practice location

110 Samaritan Dr Ste 110
Cumming, GA 30040-2569

Mailing address

110 Samaritan Dr Ste 110
Cumming, GA 30040-2569
Phone (888) 850-4891

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20231017002317 GA Practitioner - Clinical Social Worker 4981059540 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW004193GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Associates of North Georgia LLC CurrentSince Sep 19, 2023 Accepting new patients

Locations

3615 Hutchinson Rd
Ste 102
Cumming, GA 30040
Phone (706) 265-8224

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1396388666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SAMARITAN DR STE 110",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402569",
            "telephone_number": "888-850-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SAMARITAN DR STE 110",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402569",
            "telephone_number": "888-850-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ-HANSEN",
        "first_name": "CRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-19",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.