Provider Demographics
NPI:1588146112
Name:HAPP, SUSAN EBLING (LICSW)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:EBLING
Last Name:HAPP
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 HOME RD
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-9324
Mailing Address - Country:US
Mailing Address - Phone:413-429-7161
Mailing Address - Fax:
Practice Address - Street 1:1930 HOME RD
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-9324
Practice Address - Country:US
Practice Address - Phone:413-429-7161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1058241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical