Individual provider Active NPI

Jennifer Marie Hanson, LCSW

  • Clinical Social Worker
  • The Woodlands, TX
National Provider Identifier
1992298434
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60707 Issued in TX
Practice address
25511 Budde Rd Ste 1901
The Woodlands, TX 77380-2097
Phone
(832) 306-2969
NPI assigned
Jun 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 60707 TX Primary

Addresses

Primary practice location

25511 Budde Rd Ste 1901
The Woodlands, TX 77380-2097

Mailing address

1035 Rochow St Apt 1439
Houston, TX 77019-3059

Other identifiers 1

IdentifierTypeStateIssuer
60707OtherTXTEXAS STATE BOARD OF SOCIAL WORKERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180801002352 TX Practitioner - Clinical Social Worker 3779831102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finding Peace in the WoodlandsGroup PAC ID 1456780394, 4 clinicians

Practice addresses (Care Compare)

25511 Budde Rd
Suite 1901
The Woodlands, TX 77380-2097
Phone (832) 306-2969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Finding Peace in the Woodlands Clinical CurrentSince Oct 24, 2019 Accepting new patients
Kbccms, LLC PastSince Oct 25, 2020 Accepting new patients

Locations

2001 Timberloch Pl
Ste 500
The Woodlands, TX 77380
Phone (832) 296-7967

25511 Budde Rd
Ste 1901
The Woodlands, TX 77380
Phone (832) 306-2969

Organizations & group practices 2

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": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1992298434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 ROCHOW ST APT 1439",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD STE 1901",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802097",
            "telephone_number": "832-306-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-10",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF SOCIAL WORKERS",
            "identifier": "60707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.