Provider Demographics
NPI:1073102448
Name:PIERMATTEI, STEPHANY VICTORIA (MSW,LCSW)
Entity Type:Individual
Prefix:MS
First Name:STEPHANY
Middle Name:VICTORIA
Last Name:PIERMATTEI
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 33RD ST S
Mailing Address - Street 2:
Mailing Address - City:BRIGANTINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08203-1635
Mailing Address - Country:US
Mailing Address - Phone:609-335-9790
Mailing Address - Fax:
Practice Address - Street 1:234 33RD ST S
Practice Address - Street 2:
Practice Address - City:BRIGANTINE
Practice Address - State:NJ
Practice Address - Zip Code:08203-1635
Practice Address - Country:US
Practice Address - Phone:609-335-9790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC0059655001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical