Provider Demographics
NPI:1942011481
Name:BROOKS, HANNAH MARIE (LSW)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:MARIE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MISS
Other - First Name:HANNAH
Other - Middle Name:MARIE
Other - Last Name:HELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:514 TULIP TREE DR
Mailing Address - Street 2:
Mailing Address - City:LAPEL
Mailing Address - State:IN
Mailing Address - Zip Code:46051-5001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:514 TULIP TREE DR
Practice Address - Street 2:
Practice Address - City:LAPEL
Practice Address - State:IN
Practice Address - Zip Code:46051-5001
Practice Address - Country:US
Practice Address - Phone:513-453-2779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33011675A104100000X
IN99129072A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker