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Contact Information

MARY G STEPHEN, LICSW
4 WEST ROAD
GREAT BARRINGTON, MA01230-1947
 Phone: 413-528-5034
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY G STEPHEN · (Female)

NPI Number 1013093608
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 10/27/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 004070
  • MA License # 1027673
  • Other 000000025418 BMC HEALTHNET
  • Other 00419326 CT BEHAV HLTH PARTNERSHIP
  • Other 375424 MAGELLAN BEHAV HEALTH
  • Other 00PNA MBH PARTNERSHIP
  • Other 218483 MHN HMC
  • Other P2111426 OXFORD
  • CT Other 140004070CT03 ANTHEM BCBS
  • MA Other P07685 BLUE CROSS BLUE SHIELD
  • MA Other P22241 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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