Kathy Marie Hanson, ACSW
Individual provider Active NPI Clinical Social Worker · Willows, CA
NPI 1508906397 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508906397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 12927 (CA)
- Practice address
- 242 N Villa Ave
Willows, CA 95988-2641 - Phone
- (530) 865-6459
- Fax
- (530) 865-6483
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12927 | CA | MD | Music Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12927 | CA | Yes |
Addresses
Primary practice location
242 N Villa Ave
Willows, CA 95988-2641
Mailing address
242 N Villa Ave
Willows, CA 95988-2641
Phone (530) 865-6459
Other providers in Willows, CA
- John Shuford Gordon Jr.
- Richard Benjamin Gordon
- Randall J Graham
- Thomas Samuel Haber
- Joseph Charles Hallett
- Tania Marie Hayes
- Healing Hands Chiropractic
- Krystine Marie Hemmen
- Kau Nou Her
- Maureen Anne Hernandez
All providers in Willows, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.