Provider Demographics
NPI:1871898023
Name:HANSUM, DONN ALLEN (LCSW)
Entity type:Individual
Prefix:MR
First Name:DONN
Middle Name:ALLEN
Last Name:HANSUM
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2582 S DENNISON CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6540
Mailing Address - Country:US
Mailing Address - Phone:303-319-8808
Mailing Address - Fax:303-753-9337
Practice Address - Street 1:2582 S DENNISON CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6540
Practice Address - Country:US
Practice Address - Phone:303-319-8808
Practice Address - Fax:303-753-9337
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9891481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical