Provider Demographics
NPI:1417497546
Name:PROCOPIO, STEVEN LOUIS (MSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:LOUIS
Last Name:PROCOPIO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 BOWKER STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6912
Mailing Address - Country:US
Mailing Address - Phone:617-306-0660
Mailing Address - Fax:
Practice Address - Street 1:41 BOWKER STREET
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-6912
Practice Address - Country:US
Practice Address - Phone:617-306-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-08
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1068831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical