Provider Demographics
NPI:1407167091
Name:STEMPKA, STACY (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:STACY
Middle Name:
Last Name:STEMPKA
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MS
Other - First Name:STACY
Other - Middle Name:
Other - Last Name:TIMLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:7405 SETTING SUN WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1260
Mailing Address - Country:US
Mailing Address - Phone:443-963-9799
Mailing Address - Fax:
Practice Address - Street 1:7405 SETTING SUN WAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1260
Practice Address - Country:US
Practice Address - Phone:443-963-9799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15989104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker