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NPI Code Detail

MEDICARE: STEPHEN VINCENT MALONEY LICSW

MEDICARE: STEPHEN VINCENT MALONEY 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
1104100000XSocial Worker122445MA
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1316420110
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN VINCENT MALONEY LICSW
Provider Business Mailing Address
First Line : 36 INDIAN PATH RD
Second Line :
City : HALIFAX
State : MA
Zip : 02338-1302
Country : US
Telephone Number : 774-226-5954
Fax Number :
Provider Business Practice Location Address
First Line : 940 BELMONT ST BLDG 7
Second Line :
City : BROCKTON
State : MA
Zip : 02301-5596
Country : US
Telephone Number : 774-826-2942
Fax Number : 774-826-3177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2018
Last Update Date : 05/12/2026

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Directions to “ STEPHEN VINCENT MALONEY LICSW” Practice Location

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