Provider Demographics
NPI:1114479391
Name:ZEMAN, STEPHANIE (LCADC, LCSW)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:
Last Name:ZEMAN
Suffix:
Gender:F
Credentials:LCADC, LCSW
Other - Prefix:
Other - First Name:STEPHANIE KAY
Other - Middle Name:
Other - Last Name:LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCADC, LSW
Mailing Address - Street 1:13 PECAN LN
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-9165
Mailing Address - Country:US
Mailing Address - Phone:973-271-7194
Mailing Address - Fax:
Practice Address - Street 1:13 PECAN LN
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07438-9165
Practice Address - Country:US
Practice Address - Phone:973-271-7194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00272800101YM0800X
NJ44SC058135001041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty