=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376026799
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HANNAH CAMPBELL MASTER SOCIAL WORK
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/11/2018
-----------------------------------------------------
Last Update Date | 02/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12 WASHINGTON ST
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02038-3019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-202-1811
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 117 EASTMAN ST STE 102
-----------------------------------------------------
City | SOUTH EASTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02375-1363
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-202-1811
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------