MEDICARE: HANNAH TOWN LCSW-A

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	P023791	NC

General Provider Information

NPI Number	:	1861326084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH TOWN LCSW-A

Provider Business Mailing Address
First Line	:	11032 CARVER POND RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-5002
Country	:	US
Telephone Number	:	660-221-0540
Fax Number	:

Provider Business Practice Location Address
First Line	:	10224 HICKORYWOOD HILL AVE STE 205
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-3474
Country	:	US
Telephone Number	:	704-247-7785
Fax Number	:

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

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/18/2026

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