Provider Demographics
NPI:1093144586
Name:HANLON, CONSTANCE MARIE (MSW, LGSW)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:MARIE
Last Name:HANLON
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1200 FIRST STREET, N.E. 9TH FLOOR
Mailing Address - Street 2:DISTRICT OF COLUMBIA PUBLIC SCHOOLS - CHEC M.S.
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002
Mailing Address - Country:US
Mailing Address - Phone:202-442-4800
Mailing Address - Fax:202-442-5026
Practice Address - Street 1:3101 16TH STREET N.W. LINCOLN MIDDLE SCHOOL
Practice Address - Street 2:COLUMBIA HEIGHTS EDUCATIONAL CAMPUS
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001
Practice Address - Country:US
Practice Address - Phone:202-939-6680
Practice Address - Fax:202-573-9147
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG1008251041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool