Provider Demographics
NPI:1275047953
Name:AMARTEIFIO, STEPHANIE RENE (LCSW)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:RENE
Last Name:AMARTEIFIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15800 PINES BLVD STE 319
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1212
Mailing Address - Country:US
Mailing Address - Phone:954-408-6375
Mailing Address - Fax:
Practice Address - Street 1:7501 BOULDER VIEW DR STE 601
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-4054
Practice Address - Country:US
Practice Address - Phone:804-413-2855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-17
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040101411041C0700X
FLSW185381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical