Hannah Wadsworth, LCSW
Social Worker, Clinical in Bend, OR. Individual provider (NPI-1).
NPI number1982245734
StatusActive
Last updated in NPPESDec 11, 2019
Details
- NPI
- 1982245734
- Entity type
- Individual (NPI-1)
- Name
- Hannah Wadsworth
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2019
- Certification date
- Dec 11, 2019
- Last updated
- Dec 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1900 Ne Division St Ste 108Bend, OR 97701-3526
Phone 810-965-5871
Mailing address
1900 Ne Division St Ste 108Bend, OR 97701-3526
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