Provider Demographics
NPI:1366725657
Name:HANNAH, SHARNAE (LCSW)
Entity type:Individual
Prefix:
First Name:SHARNAE
Middle Name:
Last Name:HANNAH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHARNAE
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-526-5601
Mailing Address - Fax:501-526-5148
Practice Address - Street 1:3425 N FUTRALL DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4811
Practice Address - Country:US
Practice Address - Phone:479-713-8000
Practice Address - Fax:479-713-8375
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9099-C1041C0700X
AR9099-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR212394795Medicaid