Provider Demographics
NPI:1558485664
Name:HUGENBERGER, PATRICIA (LICSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:HUGENBERGER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:BLAZE
Other - Last Name:HUGENBERGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:32 SARGENT AVE
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03064-1805
Mailing Address - Country:US
Mailing Address - Phone:603-557-4129
Mailing Address - Fax:
Practice Address - Street 1:32 SARGENT AVE
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03064-1805
Practice Address - Country:US
Practice Address - Phone:603-557-4129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical