NPIMap

Organization Active NPI

Colleen M. Hanson, LCSW, P.C.

  • Clinical Social Worker
  • Lisle, IL
National Provider Identifier
1871916171
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COLLEEN M. HANSON, LCSW, P.C.
Practice address
6040 State Route 53
Suite B
Lisle, IL 60532-3392
Phone
(630) 477-0132
NPI assigned
Jan 23, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Colleen Muldoon Hanson, LCSW
Title
Owner
Phone
(630) 477-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

6040 State Route 53
Suite B
Lisle, IL 60532-3392

Mailing address

6040 State Route 53
Suite B
Lisle, IL 60532-3392
Phone (630) 477-0132

National Provider Directory

National Provider Directory

Locations

6040 State Route 53
Ste B
Lisle, IL 60532
Phone (630) 477-0132

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871916171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 STATE ROUTE 53",
            "address_2": "SUITE B",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323392",
            "telephone_number": "630-477-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 STATE ROUTE 53",
            "address_2": "SUITE B",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323392",
            "telephone_number": "630-477-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN M. HANSON, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MULDOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-477-0132",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.