Individual provider Active NPI

Hannah Waterman, LICSW

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1720406309
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23034 Issued in MN
Practice address
600 E Superior St Ste 404
Duluth, MN 55802-2237
Phone
(218) 302-5096
Fax
(218) 520-1789
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23034 MN Primary
Clinical Social Worker 1041C0700X SW11601 FL

Addresses

Primary practice location

600 E Superior St Ste 404
Duluth, MN 55802-2237

Mailing address

600 E Superior St Ste 404
Duluth, MN 55802-2237
Phone (218) 302-5096

Other identifiers 1

IdentifierTypeStateIssuer
1720406309MedicaidMN

Other names 1

  • Hannah Dummann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20140513002313 MN Practitioner - Clinical Social Worker 8921221243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 E Superior St
Suite 404
Duluth, MN 55802-2237
Phone (218) 302-5096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW11601FLMDClinical Social Worker
23034MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waterman Counseling, LLC Clinical CurrentSince Jan 17, 2022 Accepting new patients
Duluth Counseling Center CurrentSince Dec 25, 2020 Accepting new patients
Brightwater Health Dba Human Development Center PastSince Nov 11, 2013 Accepting new patients
Krystle Haugen, LMFT, LLC PastSince Jan 17, 2022 Accepting new patients

Locations

600 E Superior St
Ste 404
Duluth, MN 55802
Phone (218) 302-5096

11 E Superior St
Ste 415
Duluth, MN 55802
Phone (218) 249-0595

205 W 2nd St
Ste 448
Duluth, MN 55802
Phone (218) 269-3119

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/

Organizations & group practices 4

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1720406309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E SUPERIOR ST STE 404",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022237",
            "telephone_number": "218-302-5096",
            "fax_number": "218-520-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E SUPERIOR ST STE 404",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022237",
            "telephone_number": "218-302-5096",
            "fax_number": "218-520-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "HANNAH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23034",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720406309",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "DUMMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.