Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenneth Longfellow Hanna II, LICSW

Individual provider Clinical Social Worker · NPI 1295812105

Mr. Kenneth Longfellow Hanna II, LICSW is a Clinical Social Worker in Northfield, Minnesota. Qualified in 1997, 29 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
29
Licensed in
MN
In the registry since
2006
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

807 Division St S
Northfield, MN 55057-2430
Phone: (320) 420-1272
Fax: (320) 240-6814
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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 13493 (MN)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1295812105
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated

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