Provider Demographics
NPI:1376972521
Name:ZIPES, HANNA DINES (MSW, LGSW, LADC)
Entity Type:Individual
Prefix:MS
First Name:HANNA
Middle Name:DINES
Last Name:ZIPES
Suffix:
Gender:F
Credentials:MSW, LGSW, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3513 HENNEPIN AVE
Mailing Address - Street 2:APT 115
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-3831
Mailing Address - Country:US
Mailing Address - Phone:612-244-7704
Mailing Address - Fax:
Practice Address - Street 1:3381 GORHAM AVE
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-4240
Practice Address - Country:US
Practice Address - Phone:612-581-3860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303706101YA0400X
MN214641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)