MEDICARE: MR. DAVID THOMSON HUGHES 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	2031943	MA

General Provider Information

NPI Number	:	1922023266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID THOMSON HUGHES LICSW

Provider Business Mailing Address
First Line	:	85 OAK HILL RD
Second Line	:
City	:	WESTFORD
State	:	MA
Zip	:	01886-1510
Country	:	US
Telephone Number	:	978-589-8299
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 OAK HILL RD
Second Line	:
City	:	WESTFORD
State	:	MA
Zip	:	01886-1510
Country	:	US
Telephone Number	:	978-589-8299
Fax Number	:

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/08/2007

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