Healthcare Provider Details

I. General information

NPI: 1346153582
Provider Name (Legal Business Name): STEFANIE HADLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 MAPLE CREST CIR APT C
HOLYOKE MA
01040-7010
US

IV. Provider business mailing address

32 MAPLE CREST CIR APT C
HOLYOKE MA
01040-7010
US

V. Phone/Fax

Practice location:
  • Phone: 413-205-7270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW2141410
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: