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

Individual provider Clinical Social Worker · NPI 1225166135

Traci Lyn Hakanson, LISCW is a Clinical Social Worker in Shakopee, Minnesota. Qualified in 2001, 25 years ago. Practices with County of Scott, an 11-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
25
Licensed in
MN, WI
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

301 Fuller St S
Shakopee, MN 55379-1322
Phone: (612) 280-3048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 15625 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 9015-123 (WI)

Record details

NPI number1225166135
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISCW
Sole proprietorNo
NPI enumeratedMarch 1, 2007
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice County Of Scott — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shakopee