Provider Demographics
NPI:1972674505
Name:WINCHESTER, STEPHEN FRANCIS (LICSW)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:FRANCIS
Last Name:WINCHESTER
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 1:581 BOYLSTON ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-3608
Mailing Address - Country:US
Mailing Address - Phone:617-733-9719
Mailing Address - Fax:617-262-5380
Practice Address - Street 1:581 BOYLSTON ST
Practice Address - Street 2:SUITE 403
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-3608
Practice Address - Country:US
Practice Address - Phone:617-733-9719
Practice Address - Fax:617-262-5380
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1110221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical