Provider Demographics
NPI:1134606825
Name:MATHIEU, HENRY ARTHUR JR (MSW)
Entity type:Individual
Prefix:MR
First Name:HENRY
Middle Name:ARTHUR
Last Name:MATHIEU
Suffix:JR
Gender:M
Credentials:MSW
Other - Prefix:
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Mailing Address - Street 1:1 PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3600
Mailing Address - Country:US
Mailing Address - Phone:413-587-6262
Mailing Address - Fax:413-587-6272
Practice Address - Street 1:1 PRINCE ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3600
Practice Address - Country:US
Practice Address - Phone:413-587-6262
Practice Address - Fax:413-587-6272
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1063781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical