Provider Demographics
NPI:1558432971
Name:SARABIA, STEPHANIE L (LCSW, LCADC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:L
Last Name:SARABIA
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 HIGHVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-2949
Mailing Address - Country:US
Mailing Address - Phone:973-663-5177
Mailing Address - Fax:
Practice Address - Street 1:223 BLOOMFIELD ST STE 116
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4751
Practice Address - Country:US
Practice Address - Phone:201-320-3389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00099000101YA0400X
NJ44SC0009304001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical