Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1104930940
Christine M HansenMS LCSW SAC LPC
Active
NPI Number1104930940
NPI TypeNPI-1 Individual
SpecialtySocial Worker
Provider Details
NPI1104930940
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-08-18
Last Updated2022-08-04
Mailing Address1095 Midway Rd
Menasha, WI 54952-1115
United States
Phone: (920) 720-2300 | Fax: (920) 720-3719
📍 View Map
Primary Practice Address333 N Green Bay Rd
Neenah, WI 54956-1954
United States
Phone: (920) 720-2300 | Fax: (920) 720-3719
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDWI39640300-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No101YA0400X – Counselor, Addiction (Substance Use Disorder)WI12499
No101YP2500X – Counselor, ProfessionalWI915
Yes104100000X – Social WorkerWI1805-123
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About NPI 1104930940

Christine M Hansen MS LCSW SAC LPC is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104930940. The primary specialty listed is Social Worker. The provider is located in Neenah, WI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104930940?

NPI 1104930940 belongs to Christine M Hansen MS LCSW SAC LPC, a Social Worker in Neenah, WI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104930940 active?

The current status of NPI 1104930940 in the NPPES registry is Active. The record was last updated on 2022-08-04.

What specialty is NPI 1104930940?

NPI 1104930940 is classified under the taxonomy Social Worker. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104930940?

You can verify NPI 1104930940 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104930940?

The primary practice address on file for NPI 1104930940 is 333 N Green Bay Rd, Neenah, WI 54956-1954. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104930940 issued?

NPI 1104930940 was first issued (enumerated) on 2006-08-18. The NPPES record was last updated on 2022-08-04.

Practice Location Map

Christine M Hansen is located at 333 N Green Bay Rd, Neenah, WI. Use the map below to find directions or verify the practice location.

📍 333 N Green Bay Rd, Neenah, WI 54956-1954  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Christine M Hansen. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104930940. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Counselor, Addiction (Substance Use Disorder)12499WI
Counselor, Professional915WI
Social Worker1805-123WI
Data Verified from CMS NPPES Last synced: 2026-08-11 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162