Individual provider Active NPI

Christina L Hahn, LCSW

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1699926469
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17588 Issued in TX
Practice address
5055 W Park Blvd Ste 400
Plano, TX 75093-2590
Phone
(972) 571-0952
Fax
(972) 381-4201
NPI assigned
Oct 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 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 17588 TX Primary

Addresses

Primary practice location

5055 W Park Blvd Ste 400
Plano, TX 75093-2590

Mailing address

1424 Rivercrest Blvd
Allen, TX 75002-2900
Phone (972) 571-0952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090326000095 TX Practitioner - Clinical Social Worker 6709943384 Practice locations: Plano, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5412 W Plano Pkwy
Plano, TX 75093-4859
Phone (972) 571-0952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1699926469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 RIVERCREST BLVD",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022900",
            "telephone_number": "972-571-0952",
            "fax_number": "972-381-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 W PARK BLVD STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932590",
            "telephone_number": "972-571-0952",
            "fax_number": "972-381-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "17588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.