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NPI Code Detail

MEDICARE: CASSANDRA L HANNA LCSW

MEDICARE:   CASSANDRA L HANNA  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
11041C0700XClinical Social Worker252457KY

General Provider Information

NPI Number : 1275941353
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA L HANNA LCSW
Provider Business Mailing Address
First Line : PO BOX 1080
Second Line :
City : BURKESVILLE
State : KY
Zip : 42717-1080
Country : US
Telephone Number : 270-858-6655
Fax Number : 270-858-4027
Provider Business Practice Location Address
First Line : 6350 OLD SCOTTSVILLE RD
Second Line :
City : ALVATON
State : KY
Zip : 42122-9767
Country : US
Telephone Number : 844-435-0900
Fax Number : 270-858-4029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2014
Last Update Date : 08/11/2025

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Directions to “ CASSANDRA L HANNA LCSW” Practice Location

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