Provider Demographics
NPI:1699933622
Name:EISELIN, HANNAH (LICSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:EISELIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:RAWHOUSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2780 ALTADENA RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-4537
Mailing Address - Country:US
Mailing Address - Phone:205-419-9324
Mailing Address - Fax:
Practice Address - Street 1:2700 ALTADENA RD
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-4505
Practice Address - Country:US
Practice Address - Phone:205-419-9324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16-2461041C0700X
GACSW0036881041C0700X
AL4503C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical