Doctor Name: | CHARLES W HANSON |
NPI Number: | 1710258892 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LCSW |
License Number: | SW003768 |
Business Practice Address: | 4914 Johnson Dr Roeland Park, KS - 662052902 |
Business Phone Number: | 9133279038 |
Business Fax Number: | 9133349999 |
Mailing Address: | 4914 Johnson Dr, ROELAND PARK |
State: | KS |
Postal Code: | 662052902 |
Phone Number: | 9133279038 |
Fax Number: | 9133349999 |
NPI Enumeration Date: | 01/20/2012 |
NPI Last Update Date: | 01/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW003768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |