Provider Demographics
NPI:1376168815
Name:STUCKES, APRIL S (LCSW-A, LCAS-A)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:S
Last Name:STUCKES
Suffix:
Gender:F
Credentials:LCSW-A, LCAS-A
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:SHAWNETTE
Other - Last Name:STUCKES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:3512 SYCAMORE CROSSING CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NC
Mailing Address - Zip Code:28120-1300
Mailing Address - Country:US
Mailing Address - Phone:980-355-3029
Mailing Address - Fax:
Practice Address - Street 1:3512 SYCAMORE CROSSING CT
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NC
Practice Address - Zip Code:28120-1300
Practice Address - Country:US
Practice Address - Phone:980-355-3029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22972101YA0400X
NCP0153861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty