Provider Demographics
NPI:1629931621
Name:ALBERTSON, HANNAH HELEN (LMSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:HELEN
Last Name:ALBERTSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:HELEN
Other - Last Name:GOLAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3881 N LEGACY COMMON AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-3186
Mailing Address - Country:US
Mailing Address - Phone:208-740-8684
Mailing Address - Fax:
Practice Address - Street 1:3881 N LEGACY COMMON AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-3186
Practice Address - Country:US
Practice Address - Phone:208-740-8684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-35417104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker