Provider Demographics
NPI:1700864469
Name:HANSINGER, PETER FORREST (MSW)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:FORREST
Last Name:HANSINGER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1456 DUKE ST
Mailing Address - Street 2:ALEXANDRIA
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3403
Mailing Address - Country:US
Mailing Address - Phone:941-378-8395
Mailing Address - Fax:
Practice Address - Street 1:1456 DUKE ST
Practice Address - Street 2:ALEXANDRIA
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3403
Practice Address - Country:US
Practice Address - Phone:941-378-8395
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical