Healthcare Provider Details

I. General information

NPI: 1003658386
Provider Name (Legal Business Name): HANNAH MARY JOSEPHINE BERARD MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 06/10/2024
Certification Date: 06/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 ATWOOD DR
NORTHAMPTON MA
01060-4266
US

IV. Provider business mailing address

112 MOUNT WARNER RD
HADLEY MA
01035-9464
US

V. Phone/Fax

Practice location:
  • Phone: 413-773-1314
  • Fax:
Mailing address:
  • Phone: 413-575-9554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: