Provider Demographics
NPI:1184227589
Name:STEVENS, JOCELYN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 FREDERICK RD BLDG B
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5468
Mailing Address - Country:US
Mailing Address - Phone:443-561-4029
Mailing Address - Fax:
Practice Address - Street 1:2501 FREDERICK RD BLDG B
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5468
Practice Address - Country:US
Practice Address - Phone:443-561-4029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical