Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly E Hanna, LICSW, LADC-1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134391337

Kimberly E Hanna, LICSW, LADC-1 is a Clinical Social Worker in Mashpee, Massachusetts. Qualified in 2006, 20 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
20
Licensed in
MA
In the registry since
2008
Specialties on file
2
What do these letters mean?
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

11 Cape Dr Ste 13
Mashpee, MA 02649-3046
Phone: (617) 347-5298
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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 114401 (MA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 189 (MA)

Record details

NPI number1134391337
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LADC-1
Sole proprietorYes
NPI enumeratedMarch 27, 2008
Last updated in NPPESMarch 28, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mashpee