Provider Demographics
NPI:1942372172
Name:HANSON, LUANN K (MSW LICSW)
Entity type:Individual
Prefix:MRS
First Name:LUANN
Middle Name:K
Last Name:HANSON
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 LYNDALE AVE S STE 110
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-3398
Mailing Address - Country:US
Mailing Address - Phone:612-205-0533
Mailing Address - Fax:612-435-0263
Practice Address - Street 1:6600 LYNDALE AVE S STE 110
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-3398
Practice Address - Country:US
Practice Address - Phone:126-205-5332
Practice Address - Fax:612-435-0263
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN160741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical