Provider Demographics
NPI:1548618697
Name:FEENEY, STEPHANIE LAUREN (LCSW)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LAUREN
Last Name:FEENEY
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 1:777 E WILLIAM ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-4057
Mailing Address - Country:US
Mailing Address - Phone:775-434-7103
Mailing Address - Fax:866-605-0198
Practice Address - Street 1:777 E WILLIAM ST STE 101
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-4057
Practice Address - Country:US
Practice Address - Phone:775-434-7103
Practice Address - Fax:866-605-0198
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7201-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical