Basic Information
Provider Information
NPI: 1669051744
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHLENK
FirstName: HANNAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5900 W CHESTER RD STE C
Address2:  
City: WEST CHESTER
State: OH
PostalCode: 450692951
CountryCode: US
TelephoneNumber: 5137772428
FaxNumber: 5137770017
Practice Location
Address1: 5900 W CHESTER RD STE C
Address2:  
City: WEST CHESTER
State: OH
PostalCode: 450692951
CountryCode: US
TelephoneNumber: 5137772428
FaxNumber: 5137770017
Other Information
ProviderEnumerationDate: 04/06/2021
LastUpdateDate: 04/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106S00000X  N    
1041C0700X  Y Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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