Provider Demographics
NPI:1811478555
Name:HANSZ, KATHRYN DAWN (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:DAWN
Last Name:HANSZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:
Other - Last Name:HANSZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:825 W 187TH ST APT 3C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1215
Mailing Address - Country:US
Mailing Address - Phone:917-657-5989
Mailing Address - Fax:
Practice Address - Street 1:27 W 20TH ST STE 401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3730
Practice Address - Country:US
Practice Address - Phone:917-657-5989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109904104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty