Active NPIIndividual providerSole proprietor

Kimberly E Hanna, LICSW; LADC-1

Social Worker, Clinical in Mashpee, Massachusetts

NPI Number1134391337
Practice location
11 Cape Dr, Suite 13, Mashpee, MA 02649-3046
Fax
—
Last updated
March 28, 2013

Kimberly E Hanna is a Social Worker, Clinical based in Mashpee, MA. Kimberly E Hanna practices in Mashpee, MA and has the professional credentials of LICSW; LADC-1. The NPI Number for Kimberly E Hanna is 1134391337 and holds a License No. 189 (MA). The current practice location address for Kimberly E Hanna is 11 Cape Dr, Suite 13, Mashpee, MA 02649-3046 and can be reached out via phone at 617-347-5298.

Provider Profile Details

NPI Number
1134391337
Provider Name
Kimberly E Hanna
Credential
LICSW; LADC-1
Provider Entity Type
Individual
Gender
Female
Address
11 Cape Dr, Suite 13, Mashpee, MA 02649-3046
Phone Number
617-347-5298
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 27, 2008
Last Update Date
March 28, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Cape Dr
Suite 13
Mashpee, MA 02649-3046
Zip
02649-3046
Phone Number
617-347-5298
Mashpee, MA 02649Get directions →

Provider Business Mailing Address Details

Address
11 Cape Dr
Suite 13
Mashpee, MA 02649-3046
City
Mashpee
State
MA
Zip
02649-3046
Phone Number
617-347-5298

License Information

License Number (1)
189
License State (1)
MA
License Number (2)
114401
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly E Hanna, LICSW; LADC-1?

The NPI number of Kimberly E Hanna, LICSW; LADC-1 is 1134391337. It was assigned on March 27, 2008 and is currently active in the NPPES registry.

What is the specialty of Kimberly E Hanna, LICSW; LADC-1?

Kimberly E Hanna, LICSW; LADC-1 is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 189.

Where does Kimberly E Hanna, LICSW; LADC-1 practice?

The practice location is 11 Cape Dr, Suite 13, Mashpee, MA 02649-3046. The office can be reached at 617-347-5298 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134391337 directly on the NPPES registry website.

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