Provider Demographics
NPI:1629607353
Name:HUEY, STEFANI (MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:STEFANI
Middle Name:
Last Name:HUEY
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:STEFANI
Other - Middle Name:
Other - Last Name:MALINOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 HAZEL GROVE RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-5489
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25 WOODS LAKE RD STE 712
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2765
Practice Address - Country:US
Practice Address - Phone:864-242-0005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-04
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0126511041C0700X
SC144241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical