Emily Jean Hanson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95369 Issued in CA

Practice address

1624 Santa Clara Dr Ste 110
Roseville, CA 95661-3553

Phone

(916) 467-9171

NPI assigned

Jun 10, 2013

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)

Not enrolled

State licenses

Practice roles

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.

• No Child Left Behind

  • Adolescent and Children Mental Health Clinic/Center
  • Sparks, NV
  • NPI 1326331992
  NPD (past)
• No Child Left Behind

  • Adolescent and Children Mental Health Clinic/Center
  • Sparks, NV
  • NPI 1801172358
  NPD (past)

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1457799736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 CIRCUIT DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782152",
            "telephone_number": "775-544-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 SANTA CLARA DR STE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613553",
            "telephone_number": "916-467-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 Roberta Ln",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894316802",
            "country_code": "US",
            "telephone_number": "775-331-6252",
            "fax_number": "775-331-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Hansen
• John Paul Hansen, DDS
• Kevin Paul Hansen, MD
• Sarah Hansen
• Amanda Jo Hanson
• Heather Carol Hanson, D.D.S.
• Hamza Siddiqi Hansoti, DO
• Hansra Optometric Corporation
• Sharon Anne Hapak
• Saliha Haq, OD

• Clinical Social Worker in Roseville, CA
• Providers in Roseville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.