Provider Demographics
NPI:1720796287
Name:HASSELL, PAUL ISAAC (LMSW)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:ISAAC
Last Name:HASSELL
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 ELK DR APT 3216
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-5945
Mailing Address - Country:US
Mailing Address - Phone:737-308-5965
Mailing Address - Fax:
Practice Address - Street 1:7261 HAWKINS VIEW DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-3921
Practice Address - Country:US
Practice Address - Phone:817-835-7233
Practice Address - Fax:945-229-9990
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105169104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker