Individual provider Active NPI

Louise Helen Haneman, L.C.S.W.

  • Clinical Social Worker
  • Merion Station, PA
National Provider Identifier
1669558755
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC 00421 Issued in NJ
Practice address
419 Meadow LN
Merion Station, PA 19066-1332
Phone
(215) 518-9603
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 SC 00421 NJ Primary

Addresses

Primary practice location

419 Meadow LN
Merion Station, PA 19066-1332

Mailing address

419 Meadow LN
Merion Station, PA 19066-1332
Phone (215) 518-9603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090902000207 NJ Practitioner - Clinical Social Worker 0840345567 Practice locations: Cherry Hill, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Mall Dr
Suite 925
Cherry Hill, NJ 08002-2110
Phone (856) 482-2737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC 00421NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1669558755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MEADOW LN",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661332",
            "telephone_number": "215-518-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MEADOW LN",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661332",
            "telephone_number": "215-518-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEMAN",
        "first_name": "LOUISE",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC 00421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merion Station, PA

Sources for this page

Verify at the official NPI Registry.