Individual provider Active NPI

Hilary Ann Hanna, LSW

  • Clinical Social Worker
  • Dixon, IL
National Provider Identifier
1568293256
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150112054 Issued in IL
Practice address
629 N Galena Ave Ste 120
Dixon, IL 61021-1664
Phone
(815) 288-1235
Fax
(815) 288-0034
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 150112054 IL Primary

Addresses

Primary practice location

629 N Galena Ave Ste 120
Dixon, IL 61021-1664

Mailing address

629 N Galena Ave Ste 120
Dixon, IL 61021-1664
Phone (815) 288-1235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20260210002120 NV Practitioner - Clinical Social Worker 8022597020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5500 Maryland Way
Suite 120
Brentwood, TN 37027-4993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150112054ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Nevada Medical Hinitt PC CurrentSince Jan 1, 2026 Accepting new patients
Premise Health of Nevada Medical Hinitt PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

1993 Errecart Blvd
Elko, NV 89801
Phone (775) 748-4826

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1568293256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 N GALENA AVE STE 120",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211664",
            "telephone_number": "815-288-1235",
            "fax_number": "815-288-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N GALENA AVE STE 120",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211664",
            "telephone_number": "815-288-1235",
            "fax_number": "815-288-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "HILARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150112054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

Verify at the official NPI Registry.