Provider Demographics
NPI:1275586505
Name:STOUFFER, WILLIAM FREDERICK (CMSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:FREDERICK
Last Name:STOUFFER
Suffix:
Gender:M
Credentials:CMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:974 CEDAR TRACE LN
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-1414
Mailing Address - Country:US
Mailing Address - Phone:910-388-6740
Mailing Address - Fax:
Practice Address - Street 1:2435 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3209
Practice Address - Country:US
Practice Address - Phone:910-388-6740
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000006559101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health