Provider Demographics
NPI:1831359850
Name:NADEL, STEPHEN CHRISTOPHER (LICSW, EDD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:CHRISTOPHER
Last Name:NADEL
Suffix:
Gender:M
Credentials:LICSW, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 JEANNE RD
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-2954
Mailing Address - Country:US
Mailing Address - Phone:781-963-1967
Mailing Address - Fax:781-963-1967
Practice Address - Street 1:2 JEANNE RD
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-2954
Practice Address - Country:US
Practice Address - Phone:781-963-1967
Practice Address - Fax:781-963-1967
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health