Provider Demographics
NPI:1528735859
Name:BROWN, HANNAH (CAPSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:CAPSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 DARWIN RD STE 15
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3116
Mailing Address - Country:US
Mailing Address - Phone:608-241-4888
Mailing Address - Fax:608-241-4825
Practice Address - Street 1:2445 DARWIN RD STE 15
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3116
Practice Address - Country:US
Practice Address - Phone:608-241-4888
Practice Address - Fax:608-241-4825
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2106745104100000X
WI134747104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker