Provider Demographics
NPI:1295854578
Name:KAPLAN, IRIS MARTHA (LICSW)
Entity Type:Individual
Prefix:MS
First Name:IRIS
Middle Name:MARTHA
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 B HAWTHORNE VLG
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038
Mailing Address - Country:US
Mailing Address - Phone:508-533-7502
Mailing Address - Fax:508-533-7502
Practice Address - Street 1:25 B HAWTHORNE VLG
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038
Practice Address - Country:US
Practice Address - Phone:508-533-7502
Practice Address - Fax:508-533-7502
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1113201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP22967Medicare ID - Type Unspecified
MAKAP22967Medicare PIN