Active NPI
Hannah Faith Dea
- Clinical Social Worker
- Tustin, CA
National Provider Identifier
1760106140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 125047
- Practice address
- 17602 17TH St, Ste 102
#1100
Tustin, CA 92780 - Phone
- (949) 385-1644
- NPI assigned
- Sep 29, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 125047 | CA | Primary |
Addresses
Primary practice location
17602 17TH St, Ste 102
#1100
Tustin, CA 92780
Mailing address
17602 17TH St, Ste 102
#1100
Tustin, CA 92780
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 |
|---|---|---|---|
| 125047 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1760106140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17602 17TH ST, STE 102",
"address_2": "#1100",
"city": "TUSTIN",
"state": "CA",
"postal_code": "92780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17602 17TH ST, STE 102",
"address_2": "#1100",
"city": "TUSTIN",
"state": "CA",
"postal_code": "92780",
"telephone_number": "949-385-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEA",
"first_name": "HANNAH",
"middle_name": "FAITH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-29",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "125047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.