Provider Demographics
NPI:1598370546
Name:LAIRD, STEFANI C (LCSW)
Entity Type:Individual
Prefix:
First Name:STEFANI
Middle Name:C
Last Name:LAIRD
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 1:136 W ELIZABETH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-3811
Mailing Address - Country:US
Mailing Address - Phone:540-564-5104
Mailing Address - Fax:540-433-4053
Practice Address - Street 1:136 W ELIZABETH ST STE 201
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-3811
Practice Address - Country:US
Practice Address - Phone:540-564-5104
Practice Address - Fax:540-433-4053
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040114681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical