Kandyce Kraus Hannon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34002463A Issued in IN

Practice address

8 Morgan Blvd
Valparaiso, IN 46383-4836

Phone

(219) 464-9495

Fax

(219) 465-7169

NPI assigned

Oct 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396821344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MORGAN BLVD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834836",
            "telephone_number": "219-464-9495",
            "fax_number": "219-465-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MORGAN BLVD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834836",
            "telephone_number": "219-464-9495",
            "fax_number": "219-465-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "KANDYCE",
        "middle_name": "KRAUS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002463A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Daye Handley, NP-C
• Shelby Handtke
• Cassandra Erika Haniford, FNP-C
• Sabine Hankiewicz
• Julie Lynn Hann, RDN
• Paul R Hannon, LCAC
• Blake Hansen, DNP, FNP-C
• Michael Christopher Hansen, MD
• Karla Joann Hanson, AGACNP-BC
• Floyd Joseph Hardy Jr., DMIN, LMHC

• Clinical Social Worker in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Clinical Social Worker in Indiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.