Dorsey, Stephanie

Dorsey, Stephanie is an sole proprietor health care provider with primary practice located at 111 Main St Unit 37 , San Andreas CA 95249-9332. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dorsey, Stephanie can be contacted via phone (209) 297-1911.

Contact Information

Primary practice address
111 Main St Unit 37 San Andreas CA 95249-9332
Phone: (209) 297-1911
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW113580 California

Profile Details

NPI number 1629464532
LBN Legal business name Dorsey, Stephanie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2015
Last updated Dec 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629464532 NPPES
California MEDICAID 0501

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