Active NPI
Kimberly Kay Hanusch, LCSW
- Clinical Social Worker
- San Angelo, TX
National Provider Identifier
1801540141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 625222
- Practice address
- 36 E Twohig Ave Ste 600
San Angelo, TX 76903-6433 - Phone
- (325) 944-2561
- Fax
- (325) 939-2019
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 625222 | TX | Primary |
Addresses
Primary practice location
36 E Twohig Ave Ste 600
San Angelo, TX 76903-6433
Mailing address
36 E Twohig Ave Ste 600
San Angelo, TX 76903-6433
Phone (325) 944-2561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36 E Twohig Ave
Suite 600
San Angelo, TX 76903-6486
Phone (325) 944-2561
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 625222 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Texas Counseling & Guidance Inc | Clinical | Current | 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": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1801540141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 E TWOHIG AVE STE 600",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769036433",
"telephone_number": "325-944-2561",
"fax_number": "325-939-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 E TWOHIG AVE STE 600",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769036433",
"telephone_number": "325-944-2561",
"fax_number": "325-939-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANUSCH",
"first_name": "KIMBERLY",
"middle_name": "KAY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "625222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.