John Louis Gauthier, LICSW

Individual provider Active NPI Social Worker · Hadley, MA

NPI 1952882011 · NPPES record last updated Aug 27, 2018

Key facts

NPI
1952882011
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
105162 (MA)
Practice address
6 Cold Spring LN
Hadley, MA 01035-3508
Phone
(413) 885-0954
NPI assigned
Aug 27, 2018
Sex
Male
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
105162MAMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105162 MA Yes

Addresses

Primary practice location

6 Cold Spring LN
Hadley, MA 01035-3508

Mailing address

6 Cold Spring LN
Hadley, MA 01035-3508
Phone (413) 885-0954

Other providers in Hadley, MA

All providers in Hadley, MA · Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.