Individual provider Active NPI

Hannah Engelken, LICSW

  • Clinical Social Worker
  • Essex Junction, VT
National Provider Identifier
1770930398
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0119725 Issued in VT
Practice address
10 Greenbriar Dr
Essex Junction, VT 05452-3904
Phone
(802) 578-3776
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089-0119725 VT Primary

Addresses

Primary practice location

10 Greenbriar Dr
Essex Junction, VT 05452-3904

Mailing address

10 Greenbriar Dr
Essex Junction, VT 05452-3904
Phone (802) 578-3776

Other practice location 1

107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone (802) 524-6554

Other names 1

  • Hannah Burgin-Young Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20160817002078 VT Practitioner - Clinical Social Worker 2567757438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

32 Kendrick Dr
South Burlington, VT 05403-7568
Phone (802) 578-3776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0119725VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hannah Engelken LLC Clinical CurrentSince Jul 6, 2018 Accepting new patients

Organizations & group practices 2

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770930398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GREENBRIAR DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523904",
            "telephone_number": "802-578-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GREENBRIAR DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523904",
            "telephone_number": "802-578-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Fisher Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "VT",
            "postal_code": "054786286",
            "country_code": "US",
            "telephone_number": "802-524-6554",
            "fax_number": "802-524-6562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELKEN",
        "first_name": "HANNAH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0119725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "BURGIN-YOUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Essex Junction, VT

Sources for this page

Verify at the official NPI Registry.