Hannah Hackworth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 7864 Issued in FL

Practice address

4250 Lakeside Dr
Ste. 116
Jacksonville, FL 32210-3358

Phone

(904) 807-1230

Fax

(904) 807-1220

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hannah Foss Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1851592190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SW 13TH STREET",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084006",
            "telephone_number": "352-374-5600",
            "fax_number": "904-807-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 LAKESIDE DR",
            "address_2": "STE. 116",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103358",
            "telephone_number": "904-807-1230",
            "fax_number": "904-807-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKWORTH",
        "first_name": "HANNAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "FOSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Nizam Habhab, MD
• Elaheh Habibi, DDS
• Ahmad Hachem, MD
• Daniel Roger Hack, PA-C
• John C Hackenberg, D.O.
• Judella Edwina Haddad-Lacle, M.D.
• Alexander Afif Haddad, DO
• Ana Luiza Haddad
• Carlene Haddad
• Charles Joseph Haddad, M.D.

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.