Ronnie Hansen Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RONNIE HANSEN THERAPY LLC

Practice address

1229 Main St.
Suite 107
Philomath, OR 97370

Phone

(929) 515-4102

NPI assigned

Oct 15, 2018

Last updated

Oct 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronnie Louise Hansen, MSW, LCSWNPI 1720397201

Title

Owner

Phone

(929) 515-4102

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronnie Louise Hansen, MSW, LCSW

  • Clinical Social Worker
  • Philomath, OR
  • NPI 1720397201
  NPD (past) Authorized official

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1548736895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SW 57TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334480",
            "telephone_number": "541-609-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MAIN ST.",
            "address_2": "SUITE 107",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "97370",
            "telephone_number": "929-515-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNIE HANSEN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-515-4102",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elias Daniel Rademacher
• Jamie Raffety
• Phoenix Ries, MS,LPC
• Rachel Ann Roberts, M.S., CCC-SLP
• Ashlee Nicole Roderick, PT, DPT, OCS, CMPT
• Daniel Paul Rooke, D.M.D
• Rosemary Ayres, Ms, CCC-SLP (Speech Camp)
• Kersey Renae Schuh, PT, DPT
• Barbara Curlee Sirianni, MSW, CSWA
• Shannon Starwalt

• Clinical Social Worker in Philomath, OR
• Providers in Philomath, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.