Active NPI
David George Hanenberger, LCSW, CAP
- Clinical Social Worker
- West Palm Beach, FL
National Provider Identifier
1841457611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW8931
- Practice address
- 1639 Forum PL
Ste. 7
West Palm Beach, FL 33401-2330 - Phone
- (561) 712-8821
- NPI assigned
- May 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | CAP4219 | FL | |
| Clinical Social Worker | 1041C0700X | SW8931 | FL | Primary |
Addresses
Primary practice location
1639 Forum PL
Ste. 7
West Palm Beach, FL 33401-2330
Mailing address
225 Conniston Rd
Apt. 4
West Palm Beach, FL 33405-0908
Phone (561) 628-0002
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 |
|---|---|---|---|
| CAP4219 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| SW8931 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1841457611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CONNISTON RD",
"address_2": "APT. 4",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334050908",
"telephone_number": "561-628-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1639 FORUM PL",
"address_2": "STE. 7",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012330",
"telephone_number": "561-712-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANENBERGER",
"first_name": "DAVID",
"middle_name": "GEORGE",
"credential": "LCSW, CAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "CAP4219",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
- Robert Tyler Hamilton, MS, ATC
- Bridgette Sophia Hampton, MD
- Randy Rosenberg Handel, D.C.
- Hands & Harmony Prestige Care LLC
- Hands of Wellness LLC
- Mingqi April Hang
- Hanger Prosthetics & Orthotics East Inc (Hanger Clinic)
- Elizabeth Debra Hankin, L.M.F.T.
- Hanley Center Foundation, Inc.
- Hanley Center,Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.