Healthcare Provider Details

I. General information

NPI: 1497631683
Provider Name (Legal Business Name): HANNAH AHEARN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 HEYWOOD ST
WORCESTER MA
01604-5304
US

IV. Provider business mailing address

88 HEYWOOD ST
WORCESTER MA
01604-5304
US

V. Phone/Fax

Practice location:
  • Phone: 724-600-9454
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: