Provider Demographics
NPI:1558041509
Name:HARTMAN, QUINN ANNABEL (LMSW)
Entity type:Individual
Prefix:
First Name:QUINN
Middle Name:ANNABEL
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4238 WASHINGTON ST STE 316
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-2568
Mailing Address - Country:US
Mailing Address - Phone:857-273-2123
Mailing Address - Fax:888-972-6995
Practice Address - Street 1:4238 WASHINGTON ST STE 316
Practice Address - Street 2:
Practice Address - City:ROSLINDALE
Practice Address - State:MA
Practice Address - Zip Code:02131-2568
Practice Address - Country:US
Practice Address - Phone:857-273-2123
Practice Address - Fax:888-972-6995
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW21409361041C0700X
IA1197391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical