Provider Demographics
NPI:1659566636
Name:HETZEL, ERIN (LICSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:HETZEL
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 1:9 PEABODY ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01835-7613
Mailing Address - Country:US
Mailing Address - Phone:617-645-9214
Mailing Address - Fax:
Practice Address - Street 1:451 ANDOVER ST STE 185
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5075
Practice Address - Country:US
Practice Address - Phone:617-702-6802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker