Active NPI
Kathryn Dillon Hancock, MSW
- Social Worker
- Adrian, MI
National Provider Identifier
1730553116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801098746
- Practice address
- 805 W Maumee St
Adrian, MI 49221-1901 - Phone
- (248) 914-0177
- NPI assigned
- Nov 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801098746 | MI | Primary |
Addresses
Primary practice location
805 W Maumee St
Adrian, MI 49221-1901
Mailing address
805 W Maumee St
Adrian, MI 49221-1901
Phone (248) 914-0177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801098746 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkside Family Counseling, LLC | Social Worker | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448150400000",
"number": "1730553116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W MAUMEE ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211901",
"telephone_number": "248-914-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W MAUMEE ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211901",
"telephone_number": "248-914-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "KATHRYN",
"middle_name": "DILLON",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-22",
"last_updated": "2015-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801098746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.