Shelly Hansen
Social Worker, Clinical in Davenport, IA. Individual provider (NPI-1).
NPI number1164078762
StatusActive
Last updated in NPPESDec 29, 2023
Details
- NPI
- 1164078762
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shelly Hansen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2019
- Certification date
- Dec 29, 2023
- Last updated
- Dec 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 107970 | IA | Yes |
| 1041C0700X | Social Worker, Clinical | 149.025995 | IL |
Practice location
1414 W Lombard StDavenport, IA 52804-2148
Phone 563-326-6431
Mailing address
1414 W Lombard StDavenport, IA 52804-2148
Phone 563-326-6431
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All 121 Clinical Social Worker providers in Davenport · All 2,731 providers in Davenport
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