Active NPIIndividual providerSole proprietor

Ms. Jeannette A Hanlon, LICSW, MDIV

Social Worker, Clinical in Mashpee, Massachusetts

NPI Number1245310374
Practice location
32 Popponesset Ave, Mashpee, MA 02649-3034
Fax
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Last updated
July 8, 2007

Jeannette Anne Hanlon is a Social Worker, Clinical based in Mashpee, MA. Jeannette Anne Hanlon practices in Mashpee, MA and has the professional credentials of LICSW, MDIV. The NPI Number for Jeannette Anne Hanlon is 1245310374 and holds a License No. 1023270 (MA). The current practice location address for Jeannette Anne Hanlon is 32 Popponesset Ave, Mashpee, MA 02649-3034 and can be reached out via phone at 508-477-5704.

Provider Profile Details

NPI Number
1245310374
Provider Name
Jeannette Anne Hanlon
Credential
LICSW, MDIV
Provider Entity Type
Individual
Gender
Female
Address
32 Popponesset Ave, Mashpee, MA 02649-3034
Phone Number
508-477-5704
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 16, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
32 Popponesset Ave
Mashpee, MA 02649-3034
Zip
02649-3034
Phone Number
508-477-5704
Mashpee, MA 02649Get directions →

Provider Business Mailing Address Details

Address
32 Popponesset Ave
Mashpee, MA 02649-3034
City
Mashpee
State
MA
Zip
02649-3034
Phone Number
508-477-5704

License Information

License Number
1023270
License State
MA
Taxonomy
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 Ms. Jeannette A Hanlon, LICSW, MDIV?

The NPI number of Ms. Jeannette A Hanlon, LICSW, MDIV is 1245310374. It was assigned on October 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Jeannette A Hanlon, LICSW, MDIV?

Ms. Jeannette A Hanlon, LICSW, MDIV is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1023270.

Where does Ms. Jeannette A Hanlon, LICSW, MDIV practice?

The practice location is 32 Popponesset Ave, Mashpee, MA 02649-3034. The office can be reached at 508-477-5704 (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 1245310374 directly on the NPPES registry website.

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