Healthcare Provider Details

I. General information

NPI: 1619280690
Provider Name (Legal Business Name): ERIC G. STEEVES LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 OLD DERBY ST STE. 261
HINGHAM MA
02043-4005
US

IV. Provider business mailing address

160 OLD DERBY ST STE. 261
HINGHAM MA
02043-4005
US

V. Phone/Fax

Practice location:
  • Phone: 617-688-5108
  • Fax:
Mailing address:
  • Phone: 617-688-5108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number118229
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: