MEDICARE: MR. FREDERICK A HANNA II LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW026979	PA
2	1041C0700X	Clinical Social Worker	Q1-0012711	DE

General Provider Information

NPI Number	:	1245029743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FREDERICK A HANNA II LCSW

Provider Business Mailing Address
First Line	:	519 ROGERS RD
Second Line	:
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-1323
Country	:	US
Telephone Number	:	302-499-3467
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 PEOPLES PLZ
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19702-5707
Country	:	US
Telephone Number	:	302-832-1282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2025
Last Update Date	:	04/22/2026

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