Individual provider Active NPI

Alicia Hans, MSW, LCSW

  • Clinical Social Worker
  • Fond Du Lac, WI
National Provider Identifier
1962982421
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8651-123 Issued in WI
Practice address
21 N Portland St Ste 2B
Fond Du Lac, WI 54935-3465
Phone
(920) 630-1324
Fax
(920) 479-2870
NPI assigned
Aug 15, 2018
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8651-123 WI Primary

Addresses

Primary practice location

21 N Portland St Ste 2B
Fond Du Lac, WI 54935-3465

Mailing address

21 N Portland St Ste 2B
Fond Du Lac, WI 54935-3465
Phone (920) 630-1324

Other identifiers 1

IdentifierTypeStateIssuer
100080618MedicaidWI

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8651-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alicia Hans LCSW Clinical CurrentSince Mar 1, 2023 Accepting new patients

Locations

131 S Main St
Ste M05
Fond du Lac, WI 54935
Phone (920) 659-5414

21 N Portland St
Ste 2B
Fond du Lac, WI 54935
Phone (920) 630-1324

815 Wisconsin Ave
North Fond du Lac, WI 54937

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1962982421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N PORTLAND ST STE 2B",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353465",
            "telephone_number": "920-630-1324",
            "fax_number": "920-479-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N PORTLAND ST STE 2B",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353465",
            "telephone_number": "920-630-1324",
            "fax_number": "920-479-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANS",
        "first_name": "ALICIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8651-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080618",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.