Kathleen Ann Hare, RN,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS12675 Issued in CA

Practice address

10700 Willow Valley Rd
Nevada City, CA 95959-9451

Phone

(530) 265-5758

Fax

(530) 265-5758

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669438768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 WILLOW VALLEY RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599451",
            "telephone_number": "530-265-5758",
            "fax_number": "530-265-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 WILLOW VALLEY RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599451",
            "telephone_number": "530-265-5758",
            "fax_number": "530-265-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARE",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00230929",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USBH PROVIDER #",
            "identifier": "62-46058",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS VENDOR NUMB",
            "identifier": "A155223",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Elaine Hannah, N.P.
• Michelle Hannan
• Scott Hapak
• Christopher Harbour
• Renate H Harbour, MHRS
• Jennie L. Haws-McAlister, PSY.D.
• Michelle Hayden, LICENSED SLP
• Erika Haynes, MS, CCC-SLP
• Jessica Radhe Hayton
• Wendy Hayward

• Clinical Social Worker in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.