MEDICARE: MR. STEPHEN CHILDS HOY LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	101750	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1005410	OTHER	MA	BEACON HEALTH STRATEGIES
4	105741	OTHER	MA	MAGELLAN BEHAVIORAL HEALT
5	732704	OTHER	MA	TUFTS HEALTH PLAN

General Provider Information

NPI Number	:	1215921192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEPHEN CHILDS HOY LICSW

Provider Business Mailing Address
First Line	:	900 CUMMINGS CTR
Second Line	:	SUITE 409U
City	:	BEVERLY
State	:	MA
Zip	:	01915-6198
Country	:	US
Telephone Number	:	978-921-1335
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 CUMMINGS CTR
Second Line	:	SUITE 409U
City	:	BEVERLY
State	:	MA
Zip	:	01915-6198
Country	:	US
Telephone Number	:	978-921-1335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	07/08/2007

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Directions to “ MR. STEPHEN CHILDS HOY LICSW” Practice Location

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