Provider Demographics
NPI:1275628489
Name:STEINBERG, JON H (MSW)
Entity Type:Individual
Prefix:MR
First Name:JON
Middle Name:H
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 UNION STREET
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060
Mailing Address - Country:US
Mailing Address - Phone:413-210-5713
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER STREET
Practice Address - Street 2:ROOM 406
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013
Practice Address - Country:US
Practice Address - Phone:413-210-5713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1030735104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1895214Medicaid
2016074OtherCIGNA BEHAVIORAL HEALTH
6275734OtherUNITED BEHAVIORAL HEALTH
2016074OtherCIGNA BEHAVIORAL HEALTH