Provider Demographics
NPI:1851159305
Name:HANLEY, HANNAH (LICSW)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HANLEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19530 INTERNATIONAL BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-5483
Mailing Address - Country:US
Mailing Address - Phone:360-499-6303
Mailing Address - Fax:
Practice Address - Street 1:19530 INTERNATIONAL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-5483
Practice Address - Country:US
Practice Address - Phone:360-499-6303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW614200421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical