Provider Demographics
NPI:1053688200
Name:PEER, STEFANIE (LISW)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:
Last Name:PEER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:STEFANIE
Other - Middle Name:
Other - Last Name:STARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:2222 CHERRY ST
Mailing Address - Street 2:SUITE 2800
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2673
Mailing Address - Country:US
Mailing Address - Phone:419-251-8213
Mailing Address - Fax:419-251-7700
Practice Address - Street 1:2222 CHERRY ST
Practice Address - Street 2:SUITE 2800
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2673
Practice Address - Country:US
Practice Address - Phone:419-251-8213
Practice Address - Fax:419-251-7700
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.09000391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical