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NPI Code Detail

MEDICARE: MS. ARIEL M HALL LICSW

MEDICARE: MS. ARIEL M HALL LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1029363MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
131706OTHERMAHEALTH NEW ENGLAND
2P08533OTHERMABLUE CROSS BLUE SHIELD OF
31894668OTHERMAMASS BEH. HEALTH PARTNERS

General Provider Information

NPI Number : 1912055294
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ARIEL M HALL LICSW
Provider Business Mailing Address
First Line : 42 POMEROY AVE
Second Line : APT. 1
City : PITTSFIELD
State : MA
Zip : 01201-6304
Country : US
Telephone Number : 413-445-5277
Fax Number :
Provider Business Practice Location Address
First Line : 440 SOUTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-8243
Country : US
Telephone Number : 413-395-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 07/08/2007

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