Provider Demographics
NPI:1215071634
Name:HAFF, HOPE (MSW)
Entity type:Individual
Prefix:MS
First Name:HOPE
Middle Name:
Last Name:HAFF
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:HOPEWELL
Other - Middle Name:R
Other - Last Name:HAFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:49 PERSHING RD
Mailing Address - Street 2:2
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2015
Mailing Address - Country:US
Mailing Address - Phone:617-522-4634
Mailing Address - Fax:
Practice Address - Street 1:49 PERSHING RD
Practice Address - Street 2:2
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-2015
Practice Address - Country:US
Practice Address - Phone:617-522-4634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1060081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical