Provider Demographics
NPI:1386714640
Name:SCHAPIRO, STANLEY (LICSW)
Entity type:Individual
Prefix:
First Name:STANLEY
Middle Name:
Last Name:SCHAPIRO
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 VERNON ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2818
Mailing Address - Country:US
Mailing Address - Phone:860-978-1807
Mailing Address - Fax:
Practice Address - Street 1:139 VERNON ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2818
Practice Address - Country:US
Practice Address - Phone:860-978-1807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0031291041C0700X
MA10158361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT800001760Medicare ID - Type UnspecifiedPROVIDER MEDICARE NUMBER