Provider Demographics
NPI:1417487414
Name:CUCCIARRE, STEFANIE ELIZABETH (MSW)
Entity Type:Individual
Prefix:MRS
First Name:STEFANIE
Middle Name:ELIZABETH
Last Name:CUCCIARRE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 W UNIVERSITY AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-5678
Mailing Address - Country:US
Mailing Address - Phone:352-334-0304
Mailing Address - Fax:
Practice Address - Street 1:249 W UNIVERSITY AVE STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-5678
Practice Address - Country:US
Practice Address - Phone:352-334-0304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical