Provider Demographics
NPI:1285687590
Name:DUNN, SETH J (MSW LICSW)
Entity Type:Individual
Prefix:MR
First Name:SETH
Middle Name:J
Last Name:DUNN
Suffix:
Gender:M
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 BURTS PIT RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-3618
Mailing Address - Country:US
Mailing Address - Phone:413-695-0707
Mailing Address - Fax:413-586-1760
Practice Address - Street 1:129 KING ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3258
Practice Address - Country:US
Practice Address - Phone:413-585-1361
Practice Address - Fax:413-582-4252
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1023371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA102337OtherLICSW
MADU P 01678Medicare ID - Type Unspecified