Individual provider · Type 1 NPI

Shelly Hansen

Clinical Social Worker · Davenport, IA

NPI number 1164078762 Active

Practice location

1414 W Lombard St
Davenport, IA 52804-2148

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149.025995 (IL)
Clinical Social Worker Primary 1041C0700X107970 (IA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1164078762

Shelly Hansen's National Provider Identifier is 1164078762, issued on Aug 11, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Davenport, IA. The record was last updated on Dec 29, 2023.