ELIZABETH HANSEN


Address: 1624 Carlyle Ave # 503, Belleville, IL 62221-4558
Phone: 4047239983

ELIZABETH HANSEN (NPI# 1013105600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
CSW003804 GA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
675 Seminole Ave Ne, Suite 304, Atlanta, GA 303073408 4047239983

Other Providers ELIZABETH HANSEN

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

Office Location

Street Address 1624 CARLYLE AVE # 503
City BELLEVILLE
State IL
Zip Code 62221-4558

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City BELLEVILLE
Zip Code 62221

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Dataset Information

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.

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