Active NPI
Dianna Severance-Hanna, LCSW-C
- Clinical Social Worker
- Easton, MD
National Provider Identifier
1568764579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24791
- Practice address
- 7623 Tred Avon Cir
Easton, MD 21601-8163 - Phone
- (410) 924-5168
- NPI assigned
- Nov 23, 2010
- Last updated
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24791 | MD | Primary |
Addresses
Primary practice location
7623 Tred Avon Cir
Easton, MD 21601-8163
Mailing address
7623 Tred Avon Cir
Easton, MD 21601-8163
Phone (410) 924-5168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 609550002 | Medicaid | MD |
Other names 1
- Dee Hanna
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
29315 Erickson Dr
Easton, MD 21601-8651
Phone (410) 690-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24791 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace of Mind Mental Health Services LLC | Clinical | Current | Accepting new patients |
Locations
29315 Erickson Dr
Easton, MD 21601
Phone (410) 690-8181
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1568764579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7623 TRED AVON CIR",
"city": "EASTON",
"state": "MD",
"postal_code": "216018163",
"telephone_number": "410-924-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7623 TRED AVON CIR",
"city": "EASTON",
"state": "MD",
"postal_code": "216018163",
"telephone_number": "410-924-5168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERANCE-HANNA",
"first_name": "DIANNA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-23",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "24791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550002",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEE",
"last_name": "HANNA",
"credential": "LCSW-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.