Hannah Bethany Haupt, LCSW

Individual provider Active NPI Clinical Social Worker · De Beque, CO

NPI 1376149807 · NPPES record last updated Dec 9, 2020

Key facts

NPI
1376149807
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CSW.09927065 (CO)
Practice address
4575 W Rd # 310
De Beque, CO 81630-4700
Phone
(303) 419-8317
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CSW.09927065COMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09927065 CO Yes

Addresses

Primary practice location

4575 W Rd # 310
De Beque, CO 81630-4700

Mailing address

4575 W Rd # 310
De Beque, CO 81630-4700
Phone (303) 419-8317

Other providers in De Beque, CO

All providers in De Beque, CO · Clinical Social Worker in Colorado

Sources for this page

Verify at the official NPI Registry.