Provider Demographics
NPI:1275748394
Name:STEVENS, CLAUDIA MICHELLE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:MICHELLE
Last Name:STEVENS
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 1:4330 HWY 99 S
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-9037
Mailing Address - Country:US
Mailing Address - Phone:541-621-0303
Mailing Address - Fax:530-841-4781
Practice Address - Street 1:14 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7332
Practice Address - Country:US
Practice Address - Phone:541-621-0303
Practice Address - Fax:541-779-3260
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW190591041C0700X
ORL39771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical