SARAH GURINE HANSON (LICSW) – Clinical Social Worker, NPI 1093213704

SARAH GURINE HANSON (LICSW) is a healthcare provider. based in New brighton, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 21303 (MN). The NPI Number for SARAH GURINE HANSON (LICSW) is 1093213704

Main info

Female
15 Years Of Experience
Name
SARAH GURINE HANSON (LICSW)
NPI
1093213704
Phone
(651) 628-9566
Address
1900 SILVER LAKE RD NW STE 110
Enumeration Date
28 January 2018
Last Update Date
28 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516289566
Graduation Year
2011 (15 years ago)
PAC ID
6709147044
Group Practice PAC ID
6406752492
Professional Enrollment ID
I20180228001921
Address ID
MN551121789NE1900XNWXX524
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,341 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for SARAH GURINE HANSON (LICSW)

  • 110, Silver Lake Road Northwest, New Brighton, Ramsey County, Minnesota, 55112, United States

    NEW BRIGHTON, MN 551121789

    Phone: (651) 628-9566

    Fax: (651) 628-0411

    Type: Mailing

  • 147th Street West, Apple Valley, Dakota County, Minnesota, 55124, United States

    APPLE VALLEY, MN 551247850

    Phone: (952) 997-3020

    Fax: (952) 997-3026

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-28

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180228001921IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406752492View full group profile
NameSpecialtyState
-GA
Clinical PsychologistMN
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical PsychologistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Can I use this page to confirm SARAH GURINE HANSON (LICSW)'s NPI?
Yes. SARAH GURINE HANSON (LICSW) is listed with NPI 1093213704 in the public NPI dataset.
Can I rely on SARAH GURINE HANSON (LICSW) being an active provider?
As of the registry snapshot, SARAH GURINE HANSON (LICSW) is marked active.
What taxonomy line describes SARAH GURINE HANSON (LICSW)?
For research purposes, treat SARAH GURINE HANSON (LICSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does SARAH GURINE HANSON (LICSW) list a practice location?
Patients near New Brighton, Minnesota may find SARAH GURINE HANSON (LICSW) in results; validate coverage separately.
Why does SARAH GURINE HANSON (LICSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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