Individual
MS. COLLEEN RENE HANNUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
123 PROFESSIONAL PARK DR, STE 101, MOORESVILLE, NC 28117-5516
(866) 588-0977
Mailing address
123 PROFESSIONAL PARK DR, STE 101, MOORESVILLE, NC 28117-5516
(866) 588-0977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006519
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2853453
MEDICARE PTAN
NC
05
—
6007431
—
NC
Enumeration date
05/01/2008
Last updated
12/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us