Provider Demographics
NPI:1477096071
Name:AZARCON, STEPHANIE HELEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:HELEN
Last Name:AZARCON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 HOLLAND DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-7564
Mailing Address - Country:US
Mailing Address - Phone:724-713-7174
Mailing Address - Fax:
Practice Address - Street 1:216 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5241
Practice Address - Country:US
Practice Address - Phone:724-284-6266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0192741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical