Organization Active NPI

SB Hanson LCSW, LLC

  • Clinical Social Worker
  • Racine, WI
National Provider Identifier
1831480094
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1540-123 Issued in WI
Legal business name
SB HANSON LCSW, LLC
Practice address
6015 Durand Ave
Suite 450
Racine, WI 53406-5089
Phone
(262) 488-0603
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Stephanie Hanson
Title
Owner
Phone
(262) 488-0603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1540-123 WI Primary

Addresses

Primary practice location

6015 Durand Ave
Suite 450
Racine, WI 53406-5089

Mailing address

6015 Durand Ave
Suite 450
Racine, WI 53406-5089
Phone (262) 488-0603

National Provider Directory

National Provider Directory

Locations

6015 Durand Ave
Ste 450
Mount Pleasant, WI 53406
Phone (262) 488-0303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1831480094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 DURAND AVE",
            "address_2": "SUITE 450",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065089",
            "telephone_number": "262-488-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 DURAND AVE",
            "address_2": "SUITE 450",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065089",
            "telephone_number": "262-488-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB HANSON LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-488-0603"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1540-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.