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
Fax: (856) 566-6108
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922026004 NPPES
New Jersey MEDICAID 0503975

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