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MR. KENNETH LONGFELLOW HANNA II LICSW
NPI 1295812105
Social Worker - Clinical in Northfield, MN

Active since November 01, 2006PECOS Enrolled
807 DIVISION ST S, NORTHFIELD, MN 55057(320) 420-1272(320) 240-6814 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2025, Apr 18, 2018 (2 updates tracked since 2018).

About Mr. Kenneth Longfellow Hanna Ii Licsw NPPES

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

MR. KENNETH LONGFELLOW HANNA II LICSW (NPI 1295812105) is an individual clinical provider in Northfield, Minnesota, licensed in Minnesota (13493) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1295812105
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KENNETH LONGFELLOW HANNA IICredential: LICSW
Location Address807 DIVISION ST SNorthfield, MN 55057-2430
Mailing Address807 Division St SNorthfield, MN 55057-2430 · (320) 420-1272 · Fax (320) 240-6814
Phone(320) 420-1272
Fax(320) 240-6814
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 1, 2006
Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1295812105 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 · 13493
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.
807 DIVISION ST S, Northfield, MN 55057
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth Longfellow Hanna Ii Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668725086
PECOS Enrollment IDI20181031002281
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

LION YOUTH & COMMUNITY SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
807 DIVISION ST S
NORTHFIELD, MN 55057
Rice County (320) 420-1272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Hanna's NPI number?

The NPI number for Kenneth Hanna is 1295812105. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kenneth Hanna located?

Kenneth Hanna practices at 807 Division St S, Northfield, MN 55057. The listed phone number is (320) 420-1272.

What is Kenneth Hanna's specialty?

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

Is Kenneth Hanna enrolled in Medicare?

Yes. Kenneth Hanna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Hanna was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.