Provider Demographics
NPI:1275805533
Name:NUSZ, HANNAH MARIE (LMSW)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:NUSZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 SILVER QUEEN S UNIT 110B
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-9433
Mailing Address - Country:US
Mailing Address - Phone:913-205-3023
Mailing Address - Fax:
Practice Address - Street 1:535 CANDELARIA DRIVE
Practice Address - Street 2:
Practice Address - City:IGNACIO
Practice Address - State:CO
Practice Address - Zip Code:81137-0800
Practice Address - Country:US
Practice Address - Phone:970-563-4517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099236771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical