Provider Demographics
NPI:1912055294
Name:HALL, ARIEL M (LICSW)
Entity type:Individual
Prefix:MS
First Name:ARIEL
Middle Name:M
Last Name:HALL
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 1:42 POMEROY AVE
Mailing Address - Street 2:APT. 1
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6304
Mailing Address - Country:US
Mailing Address - Phone:413-445-5277
Mailing Address - Fax:
Practice Address - Street 1:440 SOUTH ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-8243
Practice Address - Country:US
Practice Address - Phone:413-395-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10293631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA31706OtherHEALTH NEW ENGLAND
MAP08533OtherBLUE CROSS BLUE SHIELD OF
MA1894668OtherMASS BEH. HEALTH PARTNERS
MAP08533OtherBLUE CROSS BLUE SHIELD OF