Hannah Ellenby, MSW, LICSW
NPI 1285323493ActiveIndividual· Social Worker, Clinical· Prior Lake, MN
Social Worker, Clinical (MSW, LICSW) with Lorenz Clinic LLC, practicing in Prior Lake, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1285323493 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LICSW |
| Sole proprietor | No |
| NPI issued | May 3, 2023 |
| Last updated in NPPES | Sep 12, 2024 |
| Certified by provider | Sep 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 31056 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | 31056 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Lorenz Clinic LLCWayzata, MN · 23 clinicians
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