Provider Demographics
NPI:1497950117
Name:CRAVEN, HANNAH (MSW)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:CRAVEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 ROBERTS LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-5368
Mailing Address - Country:US
Mailing Address - Phone:703-469-3932
Mailing Address - Fax:
Practice Address - Street 1:3025 HAMAKER CT STE 290
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2304
Practice Address - Country:US
Practice Address - Phone:703-573-5900
Practice Address - Fax:703-573-5924
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040005461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CR844228Medicare ID - Type Unspecified