| Hawthorn Services, Inc. | |
|
93 Main St Chicopee MA 01020-1836 | |
| (413) 592-5199 | |
| (413) 594-8693 |
| Full Name | Hawthorn Services, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 93 Main St, Chicopee, Massachusetts |
| Authorized Official Name and Position | James Callahan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4135925199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawthorn Services, Inc. 93 Main St Chicopee MA 01020-1836 Ph: (413) 592-5199 | Hawthorn Services, Inc. 93 Main St Chicopee MA 01020-1836 Ph: (413) 592-5199 |
| NPI Number | 1457418782 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457418782 | NPI | - | NPPES |
| 1904761 | Medicaid | MA | |
| 1902733 | Medicaid | MA | |
| 60-00575 | Other | MA | EVERCARE (UNTDHLTH) ID |
| 1904396 | Medicaid | MA | |
| 9904701 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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