Katie A Hansen, LICSW
Social Worker, Clinical in Boston, MA. Individual provider (NPI-1).
NPI number1083204366
StatusActive
Last updated in NPPESJan 21, 2021
Details
- NPI
- 1083204366
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katie A Hansen
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2021
- Certification date
- Jan 21, 2021
- Last updated
- Jan 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 123301 | MA | Yes |
Practice location
800 Washington StBoston, MA 02111-1552
Phone 650-515-6895
Mailing address
764 E BroadwaySouth Boston, MA 02127-2347
Phone 650-515-6895
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