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

Hannah Ellenby, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1285323493

Hannah Ellenby, MSW, LICSW is a Clinical Social Worker in Prior Lake, Minnesota. Qualified in 2022, 4 years ago. Practices with Lorenz Clinic LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2023
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

16180 Hastings Ave SE
Prior Lake, MN 55372-9227
Phone: (952) 443-4600
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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 31056 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 31056 (MN)

Record details

NPI number1285323493
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lorenz Clinic Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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