Active NPI
Lynn Hansen, LCSW
- Clinical Social Worker
- Oak Creek, WI
National Provider Identifier
1902825698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7195-123
- Practice address
- 6416 S Howell Ave
Oak Creek, WI 53154-1104 - Phone
- (414) 762-5429
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7195-123 | WI | Primary |
Addresses
Primary practice location
6416 S Howell Ave
Oak Creek, WI 53154-1104
Mailing address
285 N Janacek Rd
Brookfield, WI 53045-6102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40978300 | Medicaid | WI |
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 |
|---|---|---|---|
| 7195-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1902825698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 N JANACEK RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530456102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6416 S HOWELL AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531541104",
"telephone_number": "414-762-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7195-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40978300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.