Provider Demographics
NPI:1558542274
Name:HAUPT, MARIE WETMORE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:WETMORE
Last Name:HAUPT
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 NIKE VLG
Mailing Address - Street 2:
Mailing Address - City:TOPSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01983-2527
Mailing Address - Country:US
Mailing Address - Phone:978-887-0356
Mailing Address - Fax:978-887-8452
Practice Address - Street 1:14 NIKE VLG
Practice Address - Street 2:
Practice Address - City:TOPSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01983-2527
Practice Address - Country:US
Practice Address - Phone:978-887-0356
Practice Address - Fax:978-887-8452
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2146571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical