MEDICARE: KATHRYN CHERYL STOYER LCSW

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	0904018982	VA

General Provider Information

NPI Number	:	1972445260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN CHERYL STOYER LCSW

Provider Business Mailing Address
First Line	:	856 J CLYDE MORRIS BLVD
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23601-1318
Country	:	US
Telephone Number	:	757-316-5800
Fax Number	:	757-316-5800

Provider Business Practice Location Address
First Line	:	2244 EXECUTIVE DR
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-2430
Country	:	US
Telephone Number	:	757-827-1001
Fax Number	:

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

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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