BLAINE EDWARD HANSON LICSW
NPI 1194499756
Social Worker - Clinical in Brooklyn Park, MN

Q: What is Blaine Hanson's NPI number?

The NPI number for Blaine Hanson is 1194499756. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Q: What is Blaine Hanson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Blaine Hanson was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2021

5500 94TH AVE N, BROOKLYN PARK, MN 55443(763) 762-8862(763) 315-6685 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Blaine Edward Hanson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAINE EDWARD HANSON LICSW (NPI 1194499756) is an individual clinical provider in Brooklyn Park, Minnesota, licensed in Minnesota (26434) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1194499756

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameBLAINE EDWARD HANSONCredential: LICSW

Location Address5500 94TH AVE NBrooklyn Park, MN 55443-1992

Mailing Address9400 Zane Ave NBrooklyn Park, MN 55443-1814 · (763) 762-8862 · Fax (763) 315-6685

Phone(763) 762-8862

Fax(763) 315-6685

Sole ProprietorNo

Enumeration DateAugust 5, 2021

NPPES CertifiedAugust 5, 2021

✔ NPI 1194499756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 26434

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

5500 94TH AVE N, Brooklyn Park, MN 55443

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUSAN ELIZABETH PRANGE GATTO LICSW

Social Worker (Clinical)