NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CO 121 CSH, BOX 531
 Phone: 01085784948


Taxonomy Code Specialty Code Provider Type


1041C0700X 80 Licensed Clinical Social Worker

Addiction (Substance Use Disorder)

Indicates primary specialty

NPI Profile & details for WILLIAM B HAZEL III · (Male)

NPI Number 1326376104
Credentials LCSW,LADC,CCDP-D
Entity Individual
Enumeration date 12/06/2009
Last updated 12/06/2009 - About 7 years ago
Sole proprietor 1 No
CT License # 000589
CT License # 006619
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.


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