Individual provider Active NPI

Hannah Hansen, LISW

  • Clinical Social Worker
  • Norwalk, OH
National Provider Identifier
1962875302
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2204064 Issued in OH
Practice address
265 Benedict Ave
Norwalk, OH 44857-2308
Phone
(419) 219-9776
NPI assigned
Nov 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S. 1502377 OH
Clinical Social Worker 1041C0700X I.2204064 OH Primary

Addresses

Primary practice location

265 Benedict Ave
Norwalk, OH 44857-2308

Mailing address

1140 Commerce Pkwy Apt 305
Ashland, OH 44805-8962
Phone (216) 246-3097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20230117001830 OH Practitioner - Clinical Social Worker 9830560564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

25101 Chagrin Blvd
Suite 100
Beachwood, OH 44122-5694
Phone (216) 831-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S. 1502377OHMDSocial Worker
I.2204064OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince May 6, 2024 Accepting new patients
Family Health Services of Erie County CurrentSince Dec 5, 2022 Accepting new patients
Family Health Services of Erie County CurrentSince Dec 5, 2022 Accepting new patients

Locations

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

25101 Chagrin Blvd
Ste 200
Beachwood, OH 44122
Phone (216) 273-8127

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

265 Benedict Ave
Norwalk, OH 44857
Phone (419) 219-9776

1912 Hayes Ave
Ste D
Sandusky, OH 44870
Phone (419) 502-4800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1962875302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 COMMERCE PKWY APT 305",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058962",
            "telephone_number": "216-246-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572308",
            "telephone_number": "419-219-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "HANNAH",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S. 1502377",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2204064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.