Provider Demographics
NPI:1396127957
Name:HANSEN, ALLISON ELIZABETH (MSW, LCSW, LICSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ELIZABETH
Last Name:HANSEN
Suffix:
Gender:F
Credentials:MSW, LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 S DOWNING ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5811
Mailing Address - Country:US
Mailing Address - Phone:802-216-0390
Mailing Address - Fax:802-357-5151
Practice Address - Street 1:2401 S DOWNING ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5811
Practice Address - Country:US
Practice Address - Phone:802-216-0390
Practice Address - Fax:802-357-5151
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099253791041C0700X
VT089.01343021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3123819Medicaid
VT6704489Medicaid