ELIZABETH HANSEN (NPI# 1013105600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013105600 |
Entity Type | Individual |
Full Name | ELIZABETH HANSEN |
Other Name | ELIZABETH GARTNER GOULD |
Credential | LCSW |
Practice Address |
1624 Carlyle Ave # 503 Belleville IL 62221-4558 |
Practice Telephone | 4047239983 |
Mailing Telephone | 4047239983 |
Enumeration Date | 2007-10-09 |
Last Update Date | 2019-06-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003804 | GA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
675 Seminole Ave Ne, Suite 304, Atlanta, GA 303073408 | 4047239983 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124450234 | Elizabeth Hansen | Psychologist | 86 Saxon Ave, Bay Shore, NY 11706-7018 | 2013-07-31 |
1932454022 | Elizabeth Shaw Hansen | Speech-Language Pathologist | 127 Armonk Rd, Mount Kisco, NY 10549-4600 | 2012-07-16 |
1457627655 | Elizabeth Susan Hansen | Counselor | 122 Langley Rd N Ste B, Glen Burnie, MD 21060-6531 | 2012-04-02 |
1952620783 | Elizabeth G Hansen | Specialist | 4085 Legion Ct, Lafayette, CA 94549-3324 | 2010-05-18 |
1932423613 | Elizabeth Corazzo Hansen | Pharmacist | 136 Stutts Rd, Suite 1a, Mooresville, NC 28117-6402 | 2010-03-24 |
1215169263 | Elizabeth A Hansen | Physical Therapist | 1203 Roundtree Dr, Bedford, VA 24523-2431 | 2009-08-10 |
1932348653 | Elizabeth C Hansen | Physical Therapist | 692 Sugar Hill Rd, Chimacum, WA 98325-7732 | 2009-02-19 |
1558574673 | Elizabeth Hansen | Midwife, Lay | 541 W 21st Ave, Eugene, OR 97405-2623 | 2007-05-07 |
1720029242 | Elizabeth Marjorie Hansen | Chiropractor | 367 W Penn Ave, Wernersville, PA 19565-1413 | 2006-06-08 |
1770104556 | Elizabeth Janine Hansen | Registered Nurse | 8640 Sudley Rd Ste 203, Manassas, VA 20110-4404 | 2020-05-03 |
Street Address |
1624 CARLYLE AVE # 503 |
City | BELLEVILLE |
State | IL |
Zip Code | 62221-4558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
Find all providers in zip 62221 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780201756 | Amy Saavedra | Social Worker | 44 Linden Ave Apt 1, Belleville, NJ 07109-2787 | 2020-06-25 |
1730708199 | Kristen Marie Stewart | Social Worker | 13590 Chester Ct, Belleville, MI 48111-2494 | 2020-04-15 |
1902454689 | Light Source LLC | Social Worker | 114 E Lincoln St, Belleville, IL 62220-2251 | 2019-08-27 |
1073096343 | Beverly Joanne Rogers | Social Worker | 570 Belleville Ave Fl 4, Belleville, NJ 07109-1308 | 2018-09-12 |
1053826040 | Helping Journey Counseling Service | Social Worker | 397 Main St Ste C, Belleville, MI 48111 | 2017-12-12 |
1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
1265969729 | Cassidy Jordan Palacios | Social Worker | 1624 Carlyle Ave # 530, Belleville, IL 62221-4558 | 2017-05-16 |
1619417086 | Patrick Joseph Garrison | Social Worker | 949 Stone Creek Ln, Belleville, IL 62223-2654 | 2017-03-03 |
1407301245 | Andrea L Rako | Social Worker | 1500 Vicksburg Dr, Belleville, IL 62221-5806 | 2016-08-22 |
1508267147 | Meghan Taylor | Social Worker | 41521 S I 94 Servce Dr, Belleville, MI 48111-2856 | 2014-09-15 |
Find all providers in BELLEVILLE |
City | BELLEVILLE |
Zip Code | 62221 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.