Healthcare Provider Details

I. General information

NPI: 1063512044
Provider Name (Legal Business Name): SARAH JENNY HOXIE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 11/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 PLEASANT ST
NORTHAMPTON MA
01060-4127
US

IV. Provider business mailing address

439 STATION RD
AMHERST MA
01002-3458
US

V. Phone/Fax

Practice location:
  • Phone: 413-584-6855
  • Fax: 413-585-1355
Mailing address:
  • Phone: 617-642-5129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number120171
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: