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

Individual provider Clinical Social Worker · NPI 1104488717

Mary Jennifer Hanson, LCSW is a Clinical Social Worker in Edwardsville, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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

2 Shiloh Dr
Edwardsville, IL 62025-3212
Phone: (618) 570-5460
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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

Record details

NPI number1104488717
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 3, 2019
Last updated in NPPESJuly 3, 2019

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