Colleen M. Hanson is a Clinical in Lisle, Illinois. Colleen M. Hanson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Colleen M. Hanson is 1265657670. The last update date is 2019-02-01.
Colleen M. Hanson's current location address is 6040 State Route 53 Ste B, Lisle, Illinois. You can contact this provider via phone number 6305244000 and fax number 6305242311. The mailing address for Colleen M. Hanson is 6040 State Route 53 Ste B, Lisle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colleen M. Hanson |
|---|---|
| Address | 6040 State Route 53 Ste B, Lisle, Illinois |
| Phone Number | 6305244000 |
| Fax Number | 6305242311 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1265657670 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2019-02-01 |
Provider Mailing Address Detail
| Address | 6040 State Route 53 Ste B |
|---|---|
| City | Lisle |
| State | Illinois (IL) |
| Post Code | 605323394 |
| Phone Number | 6305244000 |
| Fax Number | 6305242311 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149010328 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BCBS | IL | 022-27624 |
Post Comment/ Review Below
What is the unique identification code assigned to Colleen M. Hanson by the Centers for Medicare & Medicaid Services?
The Colleen M. Hanson has been issued the NPI (National Provider Identifier) 1265657670. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Colleen M. Hanson?
The Colleen M. Hanson is physically situated at 6040 State Route 53 Ste B, in the city of Lisle, state of IL, with the postal code 605323394.
What is the Colleen M. Hanson's specialty and taxonomy code?
The Colleen M. Hanson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Colleen M. Hanson's 1265657670 issued?
The Colleen M. Hanson's 1265657670 was issued on 2007-04-13.
As of what date was the information regarding Colleen M. Hanson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Colleen M. Hanson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-02-01.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC