Active NPI
Michelle F Hansen, LCSW; LICSW; LADC
- Clinical Social Worker
- Brunswick, ME
National Provider Identifier
1811216658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW126393
- Practice address
- 48 Guadalcanal Dr
Brunswick, ME 04011-2732 - Phone
- (207) 542-4439
- NPI assigned
- May 19, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW126393 | MA | Primary |
| Clinical Social Worker | 1041C0700X | LC16318 | ME |
Addresses
Primary practice location
48 Guadalcanal Dr
Brunswick, ME 04011-2732
Mailing address
48 Guadalcanal Dr
Brunswick, ME 04011-2732
Phone (207) 542-4439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435765199 | Medicaid | ME |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW126393 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1811216658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 GUADALCANAL DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112732",
"telephone_number": "207-542-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 GUADALCANAL DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112732",
"telephone_number": "207-542-4439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "MICHELLE",
"middle_name": "F",
"credential": "LCSW; LICSW; LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW126393",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC16318",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "435765199",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.