Provider Demographics
NPI:1780401539
Name:DESIMIO, HANNAH B (LMSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:B
Last Name:DESIMIO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SCOUT
Other - Middle Name:
Other - Last Name:DESIMIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:817 W 17TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-1131
Mailing Address - Country:US
Mailing Address - Phone:816-269-7420
Mailing Address - Fax:
Practice Address - Street 1:12401 E 43RD ST S STE 121
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-5925
Practice Address - Country:US
Practice Address - Phone:816-500-6436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024027412104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker