Provider Demographics
NPI:1477959245
Name:PRAGER, ASPEN (LICSW)
Entity type:Individual
Prefix:
First Name:ASPEN
Middle Name:
Last Name:PRAGER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ASPEN
Other - Middle Name:
Other - Last Name:ALTERKUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:25 HEDGEROW LN
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1695
Mailing Address - Country:US
Mailing Address - Phone:617-999-9564
Mailing Address - Fax:
Practice Address - Street 1:25 HEDGEROW LN
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1695
Practice Address - Country:US
Practice Address - Phone:617-999-9564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-06
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02449154OtherMEDICAID #
NY1285628552OtherAGENCY
NYWVE061OtherMEDICARE #