Provider Demographics
NPI:1750440269
Name:STOKEY, ELIZABETH E (LICSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:E
Last Name:STOKEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 AYER ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HARVARD
Mailing Address - State:MA
Mailing Address - Zip Code:01451
Mailing Address - Country:US
Mailing Address - Phone:978-425-6666
Mailing Address - Fax:978-772-6980
Practice Address - Street 1:249 AYER ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:HARVARD
Practice Address - State:MA
Practice Address - Zip Code:01451
Practice Address - Country:US
Practice Address - Phone:997-842-5666
Practice Address - Fax:978-772-6980
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1043431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical