Provider Demographics
NPI:1053110536
Name:HANSON, ZARA SUZANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ZARA
Middle Name:SUZANNE
Last Name:HANSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 RAILROAD HWY
Mailing Address - Street 2:
Mailing Address - City:BALLANTINE
Mailing Address - State:MT
Mailing Address - Zip Code:59006-9775
Mailing Address - Country:US
Mailing Address - Phone:406-780-7439
Mailing Address - Fax:
Practice Address - Street 1:1436 RAILROAD HWY
Practice Address - Street 2:
Practice Address - City:BALLANTINE
Practice Address - State:MT
Practice Address - Zip Code:59006-9775
Practice Address - Country:US
Practice Address - Phone:406-780-7439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-788671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical