MEDICARE: HANNAH WATERMAN LICSW

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	23034	MN
2	1041C0700X	Clinical Social Worker	SW11601	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720406309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH WATERMAN LICSW

Provider Business Mailing Address
First Line	:	600 E SUPERIOR ST STE 404
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-2237
Country	:	US
Telephone Number	:	218-302-5096
Fax Number	:	218-520-1789

Provider Business Practice Location Address
First Line	:	600 E SUPERIOR ST STE 404
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-2237
Country	:	US
Telephone Number	:	218-302-5096
Fax Number	:	218-520-1789

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

Provider Enumeration Date	:	04/01/2014
Last Update Date	:	02/12/2026

Similar Medicare Providers

1972264471 — WATERMAN COUNSELING, LLC
Practice Location Address:

600 E SUPERIOR ST STE 404
DULUTH, MN
55802-2237

Practice Phone: 218-302-5096
Practice Fax: 218-520-1789

1033751003 — PAUL RUSSELL GIDDINGS MSW, LGSW
Practice Location Address:

332 W SUPERIOR ST STE 300
DULUTH, MN
55802-1844

Practice Phone: 437-921-8722
Practice Fax:

1619196524 — CENTER FOR ALCOHOL AND DRUG TREATMENT, INC.
Practice Location Address:

314 W SUPERIOR ST STE 400
DULUTH, MN
55802-1892

Practice Phone: 218-723-8444
Practice Fax: 218-529-3440

1386764355 — SHELLY L SMART MSW, LICSW
Practice Location Address:

1100 E SUPERIOR ST
DULUTH, MN
55802-2217

Practice Phone: 218-940-3445
Practice Fax: 855-251-2472

1396526349 — LINDSAY LARSON PA-C
Practice Location Address:

1001 E SUPERIOR ST STE 201
DULUTH, MN
55802-2228

Practice Phone: 218-249-5950
Practice Fax: 218-249-3091

1417950874 — INTERIM HEALTHCARE OF LAKE SUPERIOR, INC.
Practice Location Address:

332 W SUPERIOR ST , SUITE 204
DULUTH, MN
55802

Practice Phone: 218-722-0053
Practice Fax: 218-722-0318

Directions to “ HANNAH WATERMAN LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.