Active NPI
Vicki B Hanna, LAPSW
- Clinical Social Worker
- Bay Pines, FL
National Provider Identifier
1811243678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW0000000136
- Practice address
- 10000 Bay Pines Blvd
Bay Pines VA Health Care System - Satp
Bay Pines, FL 33744 - Phone
- (727) 398-6661
- Fax
- (727) 398-9509
- NPI assigned
- Jul 31, 2012
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCD0000001030 | TN | |
| Clinical Social Worker | 1041C0700X | ASW0000000136 | TN | Primary |
Addresses
Primary practice location
10000 Bay Pines Blvd
Bay Pines VA Health Care System - Satp
Bay Pines, FL 33744
Mailing address
PO Box 1453
Largo, FL 33779-1453
Phone (786) 261-3721
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 |
|---|---|---|---|
| LCD0000001030 | TN | MD | Addiction (Substance Use Disorder) Counselor |
| ASW0000000136 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1811243678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1453",
"city": "LARGO",
"state": "FL",
"postal_code": "337791453",
"telephone_number": "786-261-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 BAY PINES BLVD",
"address_2": "BAY PINES VA HEALTH CARE SYSTEM - SATP",
"city": "BAY PINES",
"state": "FL",
"postal_code": "33744",
"telephone_number": "727-398-6661",
"fax_number": "727-398-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "VICKI",
"middle_name": "B",
"credential": "LAPSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "LCD0000001030",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "ASW0000000136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.