Active NPI
Erin Hetzel, LICSW
- Clinical Social Worker
- North Andover, MA
National Provider Identifier
1659566636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 451 Andover St Ste 185
North Andover, MA 01845-5075 - Phone
- (617) 702-6802
- NPI assigned
- Sep 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
451 Andover St Ste 185
North Andover, MA 01845-5075
Mailing address
9 Peabody St
Haverhill, MA 01835-7613
Phone (617) 645-9214
Other practice location 1
1093 Beacon St
Suite 404
Brookline, MA 02446-5695
Phone (617) 702-2802
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehquanimity LLC | Current | Accepting new patients |
Locations
1093 Beacon St
Ste 404
Brookline, MA 02446
Phone (617) 566-4802
451 Andover St
Ste 185
North Andover, MA 01845
Phone (781) 835-9560
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- North Andover, MA
- NPI 1376213975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1659566636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PEABODY ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018357613",
"telephone_number": "617-645-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 ANDOVER ST STE 185",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455075",
"telephone_number": "617-702-6802"
}
],
"practiceLocations": [
{
"address_1": "1093 Beacon St",
"address_2": "Suite 404",
"address_purpose": "LOCATION",
"city": "Brookline",
"state": "MA",
"postal_code": "024465695",
"country_code": "US",
"telephone_number": "617-702-2802",
"fax_number": "617-845-1225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HETZEL",
"first_name": "ERIN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.