Individual provider Active NPI

Jeffrey P Hanna, LCSW

  • Clinical Social Worker
  • Voorhees, NJ
National Provider Identifier
1467738898
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05467100 Issued in NJ
Practice address
707 Haddonfield Berlin Rd
Voorhees, NJ 08043-3714
Phone
(856) 857-6920
NPI assigned
Oct 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 44SC05467100 NJ Primary

Addresses

Primary practice location

707 Haddonfield Berlin Rd
Voorhees, NJ 08043-3714

Mailing address

31 Woodbrook Rd
Turnersville, NJ 08012-1529
Phone (856) 981-4472

Other practice location 1

618 S White Horse Pike
Floor 1
Audubon, NJ 08106-1315
Phone (856) 981-4472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20120711000363 NJ Practitioner - Clinical Social Worker 1850556184 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forge Medical Group, LLC CurrentSince Jun 22, 2025 Accepting new patients
Forge Medical Group, LLC CurrentSince Jun 22, 2025 Accepting new patients
Kennedy Medical Group Practice, P.C. PastSince Jun 15, 2021 Accepting new patients

Locations

1500 Pleasant Valley Way
Ste 305
West Orange, NJ 07052
Phone (862) 658-6700

10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1467738898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WOODBROOK RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121529",
            "telephone_number": "856-981-4472",
            "fax_number": "856-323-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 HADDONFIELD BERLIN RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433714",
            "telephone_number": "856-857-6920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 S White Horse Pike",
            "address_2": "Floor 1",
            "address_purpose": "LOCATION",
            "city": "Audubon",
            "state": "NJ",
            "postal_code": "081061315",
            "country_code": "US",
            "telephone_number": "856-981-4472",
            "fax_number": "856-323-7520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05467100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.