MEDICARE: MR. EDWARD HYMAN 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	113606	MA

General Provider Information

NPI Number	:	1962425058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDWARD HYMAN LICSW

Provider Business Mailing Address
First Line	:	61 BICKFORD HILL RD
Second Line	:
City	:	GARDNER
State	:	MA
Zip	:	01440-2313
Country	:	US
Telephone Number	:	508-284-2410
Fax Number	:	978-534-8723

Provider Business Practice Location Address
First Line	:	15 MONUMENT SQ STE 200
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-6188
Country	:	US
Telephone Number	:	508-284-2410
Fax Number	:

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	10/24/2025

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