Provider Demographics
NPI:1114431517
Name:ROSSI, HANNAH ELIZABETH (LCSW)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:ROSSI
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 1:714 PARKRIDGE RD APT A6
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9310
Mailing Address - Country:US
Mailing Address - Phone:540-542-9693
Mailing Address - Fax:
Practice Address - Street 1:714 PARKRIDGE RD APT A6
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-9310
Practice Address - Country:US
Practice Address - Phone:984-223-9571
Practice Address - Fax:919-890-9245
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2023-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0128501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical