Daria V Hanssen, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0525731 Issued in NY

Practice address

Spectrum Behavioral Managerment Serv Inc
510 Haight Avenue Suite 203
Poughkeepsie, NY 12603-2408

Phone

(845) 485-3500

Fax

(845) 485-8780

NPI assigned

Sep 21, 2006

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 identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912006461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DANIS AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032408",
            "telephone_number": "845-485-3500",
            "fax_number": "845-485-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPECTRUM BEHAVIORAL MANAGERMENT SERV INC",
            "address_2": "510 HAIGHT AVENUE SUITE 203",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032408",
            "telephone_number": "845-485-3500",
            "fax_number": "845-485-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSSEN",
        "first_name": "DARIA",
        "middle_name": "V",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0525731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "109936",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRAT",
            "identifier": "1033150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEH HEALTH",
            "identifier": "2279502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "387296",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingrid D Hansen, PSY.D.
• Karen Lillian Hansen, R.N.
• Kayla Hansen
• Miles Douglas Hansen Jr., ATC
• Kenneth Karamchand Hansraj, MD
• Meshkat Haque, DO
• Eric Brian Hardwick, LMSW
• Stephanie Lauren Hare
• Abdelrahman M a Haroun, MD
• Samuel Keating Harrell

• Clinical Social Worker in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.