Provider Demographics
NPI:1508585548
Name:SHATZ, AMY SCHLOSSBERG (MSW)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:SCHLOSSBERG
Last Name:SHATZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 MAYNARD RD
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2809
Mailing Address - Country:US
Mailing Address - Phone:413-923-7459
Mailing Address - Fax:
Practice Address - Street 1:61 MAYNARD RD
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2809
Practice Address - Country:US
Practice Address - Phone:413-923-7459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2282051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical