Provider Demographics
NPI:1851712244
Name:HARLAN, BETH ANN (MSW)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANN
Last Name:HARLAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 872
Mailing Address - Street 2:604 W MAIN ST
Mailing Address - City:SHEFFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01257
Mailing Address - Country:US
Mailing Address - Phone:413-446-1048
Mailing Address - Fax:
Practice Address - Street 1:604 W. MAIN ST.
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:MA
Practice Address - Zip Code:01257
Practice Address - Country:US
Practice Address - Phone:413-446-1048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0041631041C0700X
MA1108631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical