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KATHLEEN E HANNAN LMSWACSWCASAC NPI 1659378834


NPI Information

NPI: 1659378834
Provider Name: KATHLEEN E HANNAN, LMSW,ACSW,CASAC
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
502 DIMMICK ST
WATERTOWN, NY
ZIP 13601
Phone: (315) 788-2548
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Kathleen E Hannan, LMSW,ACSW,CASAC is a clinical social worker in Watertown, NY. The provider is 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Kathleen E Hannan, LMSW,ACSW,CASAC NPI is 1659378834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

502 DIMMICK ST
WATERTOWN, NY
ZIP 13601-911
Phone: (315) 788-2548

The enumeration date for this NPI number is 7/4/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11130749OTHERNEW YORK1130749
287726OTHERNEW YORKUBH
3KHA502136OTHERNEW YORKBCBS EXCELLUS
461271OTHERNEW YORKPRINCIPAL
57482859OTHERNEW YORKEMPIRE VALUE OPTIONS
60005210341OTHERNEW YORKAETNA
7194066OTHERNEW YORKTRICARE
855176BMEDICARE ID-TYPE UNSPECIFIEDNEW YORK
97482859OTHERNEW YORKGHI PLANS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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