Provider Demographics
NPI:1700971249
Name:HADLEY, CRAIG HOYT (LICSW)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:HOYT
Last Name:HADLEY
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 1:90 WASHINGTON ST
Mailing Address - Street 2:SUITE 306A
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3744
Mailing Address - Country:US
Mailing Address - Phone:603-742-0806
Mailing Address - Fax:603-742-0806
Practice Address - Street 1:90 WASHINGTON ST
Practice Address - Street 2:SUITE 306A
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3744
Practice Address - Country:US
Practice Address - Phone:603-742-0806
Practice Address - Fax:603-742-0877
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH811104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
014549OtherVALUE OPTIONS
112602OtherTEAMSTERS BEHAVIORAL HEAL
1400872Y0NH01OtherANTHEM
NH30422274Medicaid
492344000OtherAETNA
NH30426954Medicaid
393207OtherMBC