Provider Demographics
NPI:1992156228
Name:SPIRO, HANNAH WAGNER (MSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:WAGNER
Last Name:SPIRO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 FAIRBANKS ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2504
Mailing Address - Country:US
Mailing Address - Phone:413-230-6772
Mailing Address - Fax:
Practice Address - Street 1:25 STANIFORD ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2503
Practice Address - Country:US
Practice Address - Phone:617-523-1529
Practice Address - Fax:617-523-1207
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical