Paula Hannon, LCSW
Social Worker, Clinical in Punta Gorda, FL. Individual provider (NPI-1).
NPI number1336736396
StatusActive
Last updated in NPPESJan 11, 2021
Details
- NPI
- 1336736396
- Entity type
- Individual (NPI-1)
- Name
- Paula Hannon
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 24, 2020
- Certification date
- Jan 11, 2021
- Last updated
- Jan 11, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW12869 | FL | Yes |
Practice location
3801 Magnolia WayPunta Gorda, FL 33950-7395
Phone 941-769-1035
Mailing address
3801 Magnolia WayPunta Gorda, FL 33950-7395
Phone 941-769-1035
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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