Most Relevant Information
Provider Data
| NPI Number: | 1003206855 |
| Provider Name: | MICHAEL STANSFELD SARGENT LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 220459 |
Most Important Dates
| Enumeration Date: | 02/02/2015 |
| Last Updated: | 04/07/2024 |
Provider Practice Location
120 MAPLE ST
SPRINGFIELD
MA
011032203
Practice Location Phone/Fax
| Phone: | 4134485358 |
| Fax: | 4134482662 |
Provider Mailing Location
38 FERRY ST
EASTHAMPTON
MA
010271232
Provider Mailing Phone/Fax
| Phone: | 4134485358 |
| Fax: | 4134482662 |