Shelley K Hansen, Lsw, Ma, LP, LLC
NPI 1396084901ActiveOrganization· Psychologist, Clinical· Northfield, MN
Psychologist, Clinical in Northfield, Minnesota, registered in NPPES in February 2013. The authorized official on file is Shelley Kay Hansen, LSW,MA, LP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396084901 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2013 |
| Last updated in NPPES | Apr 2, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP3954 | MN |
| Social Worker, Clinical | 1041C0700X | LSW5063 | 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 Part B Supplier - Clinic/Group Practice (MN) |
|---|
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