Cruthirds, Stephanie Nichole
Cruthirds, Stephanie Nichole is an individual health care provider with primary practice located at 42 E Laurel Rd # 1100 , Stratford NJ 08084-1354. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cruthirds, Stephanie Nichole can be contacted via phone (856) 566-7036.Contact Information
Primary practice address
42 E Laurel Rd # 1100
Stratford NJ 08084-1354
Phone: (856) 566-7036
Fax: (856) 566-6108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C6833 | Mississippi |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C6833 | Mississippi |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05456000 | New Jersey |
Profile Details
| NPI number | 1922026004 |
|---|---|
| LBN Legal business name | Cruthirds, Stephanie Nichole |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 22nd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922026004 | NPPES |
| New Jersey | MEDICAID | 0503975 |
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