Provider Demographics
NPI:1598075681
Name:HALL-HAMPTON, EMILY M (LICSW)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:M
Last Name:HALL-HAMPTON
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 1:33 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3038
Mailing Address - Country:US
Mailing Address - Phone:781-505-1106
Mailing Address - Fax:
Practice Address - Street 1:33 CENTER ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-3038
Practice Address - Country:US
Practice Address - Phone:781-505-1106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1188141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical