Healthcare Provider Details
I. General information
NPI: 1669117552
Provider Name (Legal Business Name): HANNAH HUGHES GARROW LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/04/2022
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801 N MILL ST STE M
NAPERVILLE IL
60563-4866
US
IV. Provider business mailing address
664 BEAVER CT
NAPERVILLE IL
60563-9783
US
V. Phone/Fax
- Phone: 630-536-8073
- Fax: 630-839-9121
- Phone: 512-948-1650
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 150116100 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: