Theo C Hanson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

600 Central Ave Ste 408
Great Falls, MT 59401-3141

Phone

(406) 205-3433

NPI assigned

Nov 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harpring & Hanson LLC

  dba Illumination Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Great Falls, MT
  • NPI 1922703370

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1770248148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE 408",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013141",
            "telephone_number": "406-205-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE 408",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013141",
            "telephone_number": "406-205-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "THEO",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7313085",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Edward Hansen, LCSW
• Bridget Troy Hanson, LCSW
• Dennis Edward Hanson, LCSW
• Erin Jean Hanson, CCC-SLP
• Nicole Andrea Hanson, APRN, BC
• Brittney A Hantz, FNP
• Alice Faye Happel
• Tanya Lee Harant, L.M.T
• Don John Harboway, D.D.S.
• Rachel Hardacker

• Clinical Social Worker in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.