Provider Demographics
NPI:1215921192
Name:HOY, STEPHEN CHILDS (LICSW)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:CHILDS
Last Name:HOY
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CUMMINGS CTR
Mailing Address - Street 2:SUITE 409U
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6198
Mailing Address - Country:US
Mailing Address - Phone:978-921-1335
Mailing Address - Fax:
Practice Address - Street 1:900 CUMMINGS CTR
Practice Address - Street 2:SUITE 409U
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6198
Practice Address - Country:US
Practice Address - Phone:978-921-1335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1017501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1857606Medicaid
MA1891138Medicaid
MA1005410OtherBEACON HEALTH STRATEGIES
MA105741OtherMAGELLAN BEHAVIORAL HEALT
MA732704OtherTUFTS HEALTH PLAN
MA732704OtherTUFTS HEALTH PLAN
MA105741OtherMAGELLAN BEHAVIORAL HEALT