Doctor Name: | JOANNE MARIE STEVENS |
NPI Number: | 1407010549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 005728 |
Business Practice Address: | 91 Barndoor Hills Rd Granby, CT - 060352916 |
Business Phone Number: | 8607985530 |
Business Fax Number: | |
Mailing Address: | 91 Barndoor Hills Rd, GRANBY |
State: | CT |
Postal Code: | 060352916 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |