Active NPIIndividual providerSole proprietor

Bruce R Stoddard, LICSW

Social Worker, Clinical in Prides Crossing, Massachusetts

NPI Number1194935791
Practice location
412 Hale Street, Prides Crossing, MA 01965
Fax
—
Last updated
July 8, 2007

Bruce R Stoddard is a Social Worker, Clinical based in Prides Crossing, MA. Bruce R Stoddard practices in Prides Crossing, MA and has the professional credentials of LICSW. The NPI Number for Bruce R Stoddard is 1194935791 and holds a License No. 110759 (MA). The current practice location address for Bruce R Stoddard is 412 Hale Street, Prides Crossing, MA 01965 and can be reached out via phone at 978-526-4759.

Provider Profile Details

NPI Number
1194935791
Provider Name
Bruce R Stoddard
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
412 Hale Street, Prides Crossing, MA 01965
Phone Number
978-526-4759
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
412 Hale Street
Prides Crossing, MA 01965
Zip
01965
Phone Number
978-526-4759
Prides Crossing, MA 01965Get directions →

Provider Business Mailing Address Details

Address
412 Hale Street
Prides Crossing, MA 01965
City
Prides Crossing
State
MA
Zip
01965
Phone Number
978-526-4759

License Information

License Number
110759
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bruce R Stoddard, LICSW?

The NPI number of Bruce R Stoddard, LICSW is 1194935791. It was assigned on May 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Bruce R Stoddard, LICSW?

Bruce R Stoddard, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110759.

Where does Bruce R Stoddard, LICSW practice?

The practice location is 412 Hale Street, Prides Crossing, MA 01965. The office can be reached at 978-526-4759 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194935791 directly on the NPPES registry website.

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