Provider Demographics
NPI:1073086294
Name:MORGAN-STERENBERG, STEPHANIE (LMSW, CLINICAL)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:MORGAN-STERENBERG
Suffix:
Gender:F
Credentials:LMSW, CLINICAL
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:J
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9859 W OUTER DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-1734
Mailing Address - Country:US
Mailing Address - Phone:313-327-2303
Mailing Address - Fax:
Practice Address - Street 1:220 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2676
Practice Address - Country:US
Practice Address - Phone:724-554-2621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-10
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MI68011157071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical