Amy Sue Hansen, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124687643502 Issued in UT

Practice address

11618 S State St Ste 1604
Draper, UT 84020-7123

Phone

(385) 202-5645

NPI assigned

Aug 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: innerpeacecounselingofutah.amyshansen@151304.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inner Peace Counseling of Utah

  dba Inner Peace

  • Clinical Social Worker
  • Draper, UT
  • NPI 1073157251
  NPD

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1871148718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E MIDVILLAGE BLVD APT 117",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701204",
            "telephone_number": "408-857-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 S STATE ST STE 1604",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207123",
            "telephone_number": "385-202-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "124687643502",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonie Michelle Hanaazbaa, MSW, LCSW, QIDP
• Hand & Orthopedic Rehabilitation Specialists
• Grace Hanks
• Ashley Hanley
• Corinne Rae Hannan, PHD
• Audrey Hansen
• Chloe Hansen
• Clarissa Marie Hansen, LMT
• Darrin F. Hansen, M.D.
• Don H Hansen, MPT

• Clinical Social Worker in Draper, UT
• Providers in Draper, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.