Provider Demographics
NPI:1871114140
Name:HANSON, ANNA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:HANSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 E 12TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1068
Mailing Address - Country:US
Mailing Address - Phone:718-375-2300
Mailing Address - Fax:718-873-2966
Practice Address - Street 1:1725 E 12TH ST STE 101
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1068
Practice Address - Country:US
Practice Address - Phone:718-375-2300
Practice Address - Fax:718-873-2966
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074781101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health