MARY S STEVENS LCSW NPI 1063407906

NPI Information

  • NPI: 1063407906
  • Provider Name: MARY S STEVENS, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1000 COMMERCIAL LN
    WTCSB
    SUFFOLK, VA
    ZIP 23434
  • Phone: (757) 942-1069

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NPI Details

Mary S Stevens, LCSW is a mental health counselor in Suffolk, VA. Mary S Stevens, LCSW NPI is 1063407906. 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:

1000 COMMERCIAL LN
WTCSB
SUFFOLK, VA
ZIP 23434-148
Phone: (757) 942-1069
Fax: (757) 925-2213

The enumeration date for this NPI number is 9/16/2005 and was last updated on 7/8/2007.

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
1101YM0800XCounselorMental Health0904002094VIRGINIAYes

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
1270371OTHERVIRGINIATRIGONBC/BS HEALTHKEEPERS
28904766MEDICAIDVIRGINIA
3O83006OTHERVIRGINIAOPITMA FAMILY CARE
4R65851MEDICARE UPINVIRGINIA

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: 11/21/2025

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