Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake G Hansen, LCSW

Individual provider Clinical Social Worker · NPI 1518281286

Blake G Hansen, LCSW is a Clinical Social Worker in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2010.

Licensed in
WY
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

640 E Broadway
Jackson, WY 83001
Phone: (307) 733-2046
Fax: (307) 733-6289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW- 365 (WY)

Record details

NPI number1518281286
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 24, 2010
Last updated in NPPESJuly 16, 2011
Mailing addressPo Box 1868, Jackson, WY 83001-1868

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