Patrick James Hanson
Social Worker, Clinical in Fernandina Beach, FL. Individual provider (NPI-1).
NPI number1932098720
StatusActive
Last updated in NPPESOct 1, 2026
Details
- NPI
- 1932098720
- Entity type
- Individual (NPI-1)
- Name
- Patrick James Hanson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2025
- Certification date
- Oct 1, 2026
- Last updated
- Oct 1, 2026
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 | SW26519 | FL | Yes |
Practice location
1865 Lime St Ste 103Fernandina Beach, FL 32034-4779
Phone 904-321-9145 · Fax 904-913-2761
Mailing address
1865 Lime St Ste 103Fernandina Beach, FL 32034-4779
Phone 973-274-5667
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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