Craddock, Stephanie

Craddock, Stephanie is an individual health care provider with primary practice located at 26207 Lands End Drive , Chantilly VA 20152-5627. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Craddock, Stephanie can be contacted via phone (732) 266-6258.

Contact Information

Primary practice address
26207 Lands End Drive Chantilly VA 20152-5627
Fax: (732) 235-2408
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904006829

Profile Details

NPI number 1497830665
LBN Legal business name Craddock, Stephanie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jun 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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