SUSANNAH MARGARET HART STEPHENS LICSW SUDP NPI 1639558885

NPI Information

NPI: 1639558885
Provider Name: SUSANNAH MARGARET HART STEPHENS, LICSW, SUDP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
18490 SUQUAMISH WAY NE
SUQUAMISH, WA
ZIP 98392
Phone: (360) 394-8558
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Susannah Margaret Hart Stephens, LICSW, SUDP is a mental health counselor in Suquamish, WA. Susannah Margaret Hart Stephens, LICSW, SUDP NPI is 1639558885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18490 SUQUAMISH WAY NE
SUQUAMISH, WA
ZIP 98392-532
Phone: (360) 394-8558
Fax: (360) 598-1724

The NPI 1639558885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/20/2015 and was last updated on 1/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP60672681	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	LW61492248	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2206507	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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