Healthcare Provider Details

I. General information

NPI: 1669307435
Provider Name (Legal Business Name): HANNAH WILSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16979 W 94TH ST
LENEXA KS
66219-1939
US

IV. Provider business mailing address

9107 HILLVIEW DR
DE SOTO KS
66018-9482
US

V. Phone/Fax

Practice location:
  • Phone: 913-302-0616
  • Fax:
Mailing address:
  • Phone: 913-302-0616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14753
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: