Provider Demographics
NPI:1740906023
Name:PENCE, HANNAH L (BSW, MSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:L
Last Name:PENCE
Suffix:
Gender:F
Credentials:BSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1097 WESTMINSTER ROW APT 1321
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-1739
Mailing Address - Country:US
Mailing Address - Phone:317-550-9980
Mailing Address - Fax:
Practice Address - Street 1:2405 MADISON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46225-2106
Practice Address - Country:US
Practice Address - Phone:317-550-9980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker