Individual provider Active NPI

Hannah Eppley, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1710704713
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09930902 Issued in CO
Practice address
2850 McClelland Dr Ste 3400
Fort Collins, CO 80525-2572
Phone
(866) 285-2929
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 CSW.09930902 CO Primary

Addresses

Primary practice location

2850 McClelland Dr Ste 3400
Fort Collins, CO 80525-2572

Mailing address

2721 Harvest Park LN
Fort Collins, CO 80528-3225
Phone (303) 523-5303

Other names 1

  • Hannah Sullivan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241023004416 CO Practitioner - Clinical Social Worker 6406389816 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Partners Counseling and Consulting LLC CurrentSince Sep 12, 2024 Accepting new patients
Polaris Partners Counseling and Consulting LLC Clinical CurrentSince Sep 12, 2024 Accepting new patients
Polaris Partners Counseling and Consulting LLC Clinical Past Accepting new patients

Locations

155 S Madison St
Ste 306
Denver, CO 80209
Phone (970) 576-1717

2850 McClelland Dr
Ste 3400
Fort Collins, CO 80525
Phone (303) 345-8004

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1710704713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 HARVEST PARK LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283225",
            "telephone_number": "303-523-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR STE 3400",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252572",
            "telephone_number": "866-285-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPLEY",
        "first_name": "HANNAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "SULLIVAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.