Ronnie Louise Hansen, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Philomath, OR

NPI 1720397201 · NPPES record last updated Oct 5, 2018

Key facts

NPI
1720397201
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
7842 (OR)
Practice address
1229 Main Street
Philomath, OR 97370
Phone
(541) 609-0462
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7842ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronnie Hansen Therapy LLC Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7842 OR Yes

Addresses

Primary practice location

1229 Main Street
Philomath, OR 97370

Mailing address

710 SW 57TH St
Corvallis, OR 97333-4480
Phone (541) 609-0462

Other names

  • Ronnie Louise Morella Former name

Other providers in Philomath, OR

All providers in Philomath, OR · Clinical Social Worker in Oregon

Sources for this page

Verify at the official NPI Registry.