Healthcare Provider Details

I. General information

NPI: 1447294525
Provider Name (Legal Business Name): RICHARD JOHN HASSINGER MSW, DCSW,LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 05/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTER FOR FAMILY DEVELOPMENT; 45 MERRIMACK ST SUITE 200
LOWELL MA
01852
US

IV. Provider business mailing address

CENTER FOR FAMILY DEVELOPMENT, 45 MERRIMACK ST. SUITE 200
LOWELL MA
01852
US

V. Phone/Fax

Practice location:
  • Phone: 978-459-2306
  • Fax: 978-453-9394
Mailing address:
  • Phone: 978-459-2306
  • Fax: 978-453-9394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number105397
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: