Vickie Hanna, LISW-SUPV, LCDCIII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0010081-SUPV Issued in OH

Practice address

169 5TH St SE
Unit B
Barberton, OH 44203-9003

Phone

(330) 673-1347

Fax

(330) 678-3677

NPI assigned

Oct 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Axess Family Services Inc

  • Federally Qualified Health Center (FQHC)
  • Barberton, OH
  • NPI 1356604680
  NPD
• Axess Family Services Inc

  • Federally Qualified Health Center (FQHC)
  • Ravenna, OH
  • NPI 1437944923
  NPD
• Axess Family Services Inc

  • Federally Qualified Health Center (FQHC)
  • Akron, OH
  • NPI 1548214935
  NPD
• Axess Family Services Inc

  • Federally Qualified Health Center (FQHC)
  • Kent, OH
  • NPI 1376796862
  NPD (past)

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1487906756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5982 RHODES RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404128",
            "telephone_number": "330-673-1347",
            "fax_number": "330-678-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 5TH ST SE",
            "address_2": "UNIT B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442039003",
            "telephone_number": "330-673-1347",
            "fax_number": "330-678-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "VICKIE",
        "credential": "LISW-SUPV, LCDCIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDC-011413-3",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0010081-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel L. Hall, M.D.
• Jacob A Hall, CDCA
• Amy Danielle Hamilton-Barnett, INDEPENDENT PROVIDER
• Denise Deann Hanks
• Sarah E Hanlon, LSW
• Ihsan Haque, MD
• Tyler Marie Harrison
• Cherie Renee Hart-Spicer, M.D.
• Jo-Ann Natalie Hartkop
• Ronda R Hartman-Kuhajda, LPC

• Clinical Social Worker in Barberton, OH
• Providers in Barberton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.