Provider Demographics
NPI:1699789784
Name:STEPHENSON-MURPHY, SANDRA (LICSW)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:STEPHENSON-MURPHY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:16 CENTER ST STE 502
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3031
Mailing Address - Country:US
Mailing Address - Phone:413-564-9034
Mailing Address - Fax:888-336-2209
Practice Address - Street 1:16 CENTER ST STE 502
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3031
Practice Address - Country:US
Practice Address - Phone:413-564-9034
Practice Address - Fax:888-336-2209
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1109251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP-22765Medicare ID - Type Unspecified