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NPI Code Detail

MEDICARE: STEPHANIE DELEON LICSW

MEDICARE: STEPHANIE DELEON 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
11041C0700XClinical Social WorkerLICSW1141079MA
21041C0700XClinical Social WorkerISW04465RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427405521
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE DELEON LICSW
Provider Business Mailing Address
First Line : 245 PONDVIEW DR
Second Line :
City : AMHERST
State : MA
Zip : 01002-3231
Country : US
Telephone Number : 401-830-3065
Fax Number :
Provider Business Practice Location Address
First Line : 245 PONDVIEW DR
Second Line :
City : AMHERST
State : MA
Zip : 01002-3231
Country : US
Telephone Number : 401-830-3065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2016
Last Update Date : 12/07/2025

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Directions to “ STEPHANIE DELEON LICSW” Practice Location

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