Individual provider Active NPI

Robert Gerard Hasson III, LICSW

  • Clinical Social Worker
  • Brookline, MA
National Provider Identifier
1184075244
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119647 Issued in MA
Practice address
1309 Beacon St
Suite 300
Brookline, MA 02446-5271
Phone
(781) 281-8582
NPI assigned
Jun 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119647 MA Primary

Addresses

Primary practice location

1309 Beacon St
Suite 300
Brookline, MA 02446-5271

Mailing address

46 Englewood Ave
Apartment 22
Brighton, MA 02135-7853
Phone (207) 838-5412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119647MAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1184075244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ENGLEWOOD AVE",
            "address_2": "APARTMENT 22",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021357853",
            "telephone_number": "207-838-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BEACON ST",
            "address_2": "SUITE 300",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465271",
            "telephone_number": "781-281-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSON",
        "first_name": "ROBERT",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.