KHADEEJAH HASSAN


Address: 20 Edgewood Rd, Pittsfield, MA 01201-3306
Phone: 4134467217

KHADEEJAH HASSAN (NPI# 1528381597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528381597
Entity Type Individual
Full Name KHADEEJAH HASSAN
Credential LPN, LICSW
Practice Address 20 Edgewood Rd
Pittsfield
MA 01201-3306
Mailing Address 1 Fenn St
Pittsfield
MA 01201-6278
Practice Telephone 4134467217
Mailing Telephone 4136291251
Enumeration Date 2010-03-05
Last Update Date 2020-08-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Feen St, Administrative Offices, Pittsfield, MA 01201 4136291251 4134482198

Office Location

Street Address 20 EDGEWOOD RD
City PITTSFIELD
State MA
Zip Code 01201-3306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417560350 Compass Home Care Services LLC Licensed Practical Nurse 20 Edgewood Rd, Pittsfield, MA 01201-3306 2020-08-29

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NPI Name Taxonomy Address Enumeration
1194292326 Dominic Boudini Social Worker Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 2018-10-25
1770066433 Michelle P Racicot Physical Therapy Assistant 144 Brighton Ave, Pittsfield, MA 01201 2018-09-10
1659853927 Janis W. Zimbler Social Worker 49 Kenilworth Street, Pittsfield, MA 01201 2018-09-04
1528545225 Claudia L Coplan Social Worker 262 Appleton Avenue, Pittsfield, MA 01201 2018-07-25
1255852083 Vandana Sethi Dentist Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 2017-07-01
1770011819 Vladimir Nazarov Dentist 690 Merrill Road, Pittsfield, MA 01201 2017-06-02
1215462254 Anqi Hu Dentist 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 2017-04-27
1942759162 Community Health Programs, Inc Clinic/Center 510 North St., Pittsfield, MA 01201 2016-09-29
1366990590 Daniel Pinsky I Counselor 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 2016-09-16
1275086746 Berkshire Medical Center, Inc Substance Abuse Rehabilitation Facility 48 Kent Ave, Pittsfield, MA 01201 2016-08-01
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780233619 Michelle Lee Slatergoggia Counselor 95 Elmer Ave, Pittsfield, MA 01201-8636 2019-09-04
1275995854 Molly Holmes Counselor 7 Loumar Dr, Pittsfield, MA 01201-5932 2016-03-23
1932560109 Nicole Marie Hebert Counselor 877 South St Ste 200, Pittsfield, MA 01201-8243 2016-03-15
1538569868 Tiffany Henry Counselor 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 2014-08-22
1871892265 William Pleu Counselor 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 2011-03-24
1902111230 Jessica Caritey Counselor 1 Fenn Strett, Administrative Offices, Pittsfield, MA 01201 2010-08-11
1306167432 Maureen Sweeney Counselor 126 Mountain Dr, Pittsfield, MA 01201-7420 2010-06-11
1487982195 Michael Fitzgerald Counselor The Brien Center 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 2009-11-19
1982930772 Candace Mozzi Counselor 19 Richard Dr, Pittsfield, MA 01201-7422 2009-10-29
1801129739 Rebecca Polastri Counselor 1 Fenn Street, Administrative Offices, Pittsfield, MA 01201 2009-09-10
Find all providers in PITTSFIELD

Competitor

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City PITTSFIELD
Zip Code 01201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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