1093144586 NPI number — MS. CONSTANCE MARIE HANLON MSW, LGSW

Table of content: MS. CONSTANCE MARIE HANLON MSW, LGSW (NPI 1093144586)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093144586 NPI number — MS. CONSTANCE MARIE HANLON MSW, LGSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANLON
Provider First Name:
CONSTANCE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW, LGSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093144586
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 FIRST STREET, N.E. 9TH FLOOR
Provider Second Line Business Mailing Address:
DISTRICT OF COLUMBIA PUBLIC SCHOOLS - CHEC M.S.
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-442-4800
Provider Business Mailing Address Fax Number:
202-442-5026

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3101 16TH STREET N.W. LINCOLN MIDDLE SCHOOL
Provider Second Line Business Practice Location Address:
COLUMBIA HEIGHTS EDUCATIONAL CAMPUS
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-939-6680
Provider Business Practice Location Address Fax Number:
202-573-9147
Provider Enumeration Date:
11/05/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041S0200X , with the licence number:  LC50080723 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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