NPI 1619343969 · live from the CMS NPI Registry
Hassanatu Bah
Social Worker, Clinical in Waltham, MA. National Provider Identifier 1619343969, active.
NPI record
| NPI | 1619343969 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 375 Totten Pond Rd # 408, Waltham, MA 02451 |
| Practice phone | 781-905-8487 |
| Mailing address | 100 W Pearl St, Nashua, NH 03060 |
| Enumerated | August 20, 2015 |
| Last updated | May 4, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker | 104100000X | — |
| Social Worker, Clinical primary | 1041C0700X | 224566 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.