Kristen Hanisch LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KRISTEN HANISCH LLC

Practice address

277 Fairfield Rd Ste 103
Fairfield, NJ 07004-1931

Phone

(973) 270-4943

NPI assigned

Jun 27, 2022

Organization subpart

No

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

Authorized official

Name

Kristen Hanisch, LCSWNPI 1538757950

Title

Owner

Phone

(973) 270-4943

Specialties & licenses 1

Addresses

Other names 1

• Hanisch Counseling Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Hanisch, LCSW

  • Clinical Social Worker
  • Pequannock, NJ
  • NPI 1538757950
  NPD Authorized official

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1720710957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HILTON ST",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401309",
            "telephone_number": "973-270-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 FAIRFIELD RD STE 103",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041931",
            "telephone_number": "973-270-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN HANISCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "HANISCH",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-270-4943",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanisch Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hanisch Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jung-Soo Koh
• Jeffrey Michael Kopack, PT, DPT
• Kevin N Kopack, MSPT
• Maria Koutsoumbis, MS, CCC-SLP
• Jennifer Kit Kreiger
• Lisa Marie Krivis, DPT
• Dena L Lacara, D.O.
• Edward Lang
• Michelle J Lanza
• Melanie Large

• Clinical Social Worker in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.