MEDICARE: MR. CRAIG HOYT HADLEY 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	104100000X	Social Worker	811	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	014549	OTHER	VALUE OPTIONS
2	112602	OTHER	TEAMSTERS BEHAVIORAL HEAL
3	1400872Y0NH01	OTHER	ANTHEM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	492344000	OTHER	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	393207	OTHER	MBC

General Provider Information

NPI Number	:	1700971249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CRAIG HOYT HADLEY LICSW

Provider Business Mailing Address
First Line	:	90 WASHINGTON ST
Second Line	:	SUITE 306A
City	:	DOVER
State	:	NH
Zip	:	03820-3744
Country	:	US
Telephone Number	:	603-742-0806
Fax Number	:	603-742-0806

Provider Business Practice Location Address
First Line	:	90 WASHINGTON ST
Second Line	:	SUITE 306A
City	:	DOVER
State	:	NH
Zip	:	03820-3744
Country	:	US
Telephone Number	:	603-742-0806
Fax Number	:	603-742-0877

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	01/05/2009

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Directions to “ MR. CRAIG HOYT HADLEY LICSW” Practice Location

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