WILLIAM CHARLES HANSON (LICSW) – Clinical Social Worker, NPI 1093533663

WILLIAM CHARLES HANSON (LICSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 31107 (MN). The NPI Number for WILLIAM CHARLES HANSON (LICSW) is 1093533663

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM CHARLES HANSON (LICSW)
NPI
1093533663
Phone
(612) 301-3433
Address
2001 BLOOMINGTON AVE
Enumeration Date
1 October 2024
Last Update Date
1 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524286332
Graduation Year
2022 (4 years ago)
PAC ID
8224560834
Group Practice PAC ID
4587997259
Professional Enrollment ID
I20241021000260
Address ID
MN554224805GO4284XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for WILLIAM CHARLES HANSON (LICSW)

  • 2001 BLOOMINGTON AVE

    MINNEAPOLIS, MN 554043074

    Phone: (612) 301-3433

    Fax: (612) 426-4710

    Mailing address matches the actual address.

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: 2024-10-21

PECOS data refreshed: 2026-05-27

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
I20241021000260IClinical 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 55404)

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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: 4587997259View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Does WILLIAM CHARLES HANSON (LICSW) have a public NPI I can cite?
Public records show WILLIAM CHARLES HANSON (LICSW) under NPI 1093533663.
Quick check: is WILLIAM CHARLES HANSON (LICSW) active?
Public NPPES data shows WILLIAM CHARLES HANSON (LICSW) with an active NPI status right now.
Which specialty label fits WILLIAM CHARLES HANSON (LICSW)?
NPPES ties WILLIAM CHARLES HANSON (LICSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to WILLIAM CHARLES HANSON (LICSW)?
WILLIAM CHARLES HANSON (LICSW) is associated with Minneapolis, Minnesota in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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