Provider Demographics
NPI:1225637341
Name:HANSHEW PSYCHOTHERAPY SERVICES
Entity Type:Organization
Organization Name:HANSHEW PSYCHOTHERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HANSHEW
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LICSW
Authorized Official - Phone:240-385-7000
Mailing Address - Street 1:42 TALL OAK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414-5319
Mailing Address - Country:US
Mailing Address - Phone:240-385-7000
Mailing Address - Fax:
Practice Address - Street 1:42 TALL OAK DR
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-5319
Practice Address - Country:US
Practice Address - Phone:240-385-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty