Individual provider Active NPI

Hannah Eiselin, LICSW

  • Clinical Social Worker
  • Vestavia, AL
National Provider Identifier
1699933622
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4503C Issued in AL
Practice address
2700 Altadena Rd
Vestavia, AL 35243-4505
Phone
(205) 419-9324
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16-246 AZ
Clinical Social Worker 1041C0700X CSW003688 GA
Clinical Social Worker 1041C0700X 4503C AL Primary

Addresses

Primary practice location

2700 Altadena Rd
Vestavia, AL 35243-4505

Mailing address

2780 Altadena Rd
Vestavia, AL 35243-4537
Phone (205) 419-9324

Other names 1

  • Hannah Rawhouser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4503CALMDClinical Social Worker
16-246AZMDClinical Social Worker
CSW003688GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1699933622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 ALTADENA RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434537",
            "telephone_number": "205-419-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ALTADENA RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434505",
            "telephone_number": "205-419-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISELIN",
        "first_name": "HANNAH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "16-246",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003688",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4503C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "RAWHOUSER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.