Provider Demographics
NPI:1619148459
Name:HASPER, PATRICIA (LICSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:HASPER
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:PO BOX 1319
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-5319
Mailing Address - Country:US
Mailing Address - Phone:413-695-2419
Mailing Address - Fax:508-433-1871
Practice Address - Street 1:247 NORTHAMPTON ST
Practice Address - Street 2:STE 25
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1054
Practice Address - Country:US
Practice Address - Phone:413-695-2419
Practice Address - Fax:508-433-1871
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-20
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT08900011851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical