Provider Demographics
NPI:1063678142
Name:SAINTCYR, STEPHANIE MICHELLE (MSW, LCSW, MACII)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:MICHELLE
Last Name:SAINTCYR
Suffix:
Gender:F
Credentials:MSW, LCSW, MACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MILLS ST
Mailing Address - Street 2:APT #1
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-3751
Mailing Address - Country:US
Mailing Address - Phone:503-407-6207
Mailing Address - Fax:973-808-9338
Practice Address - Street 1:51 SOUTH ST
Practice Address - Street 2:ROOM #11
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-8106
Practice Address - Country:US
Practice Address - Phone:503-407-6207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ509665101YA0400X
NJ44SC054817001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)