Provider Demographics
NPI:1851449961
Name:STEPHENS, CATHERINE S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:S
Last Name:STEPHENS
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 1:2 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-1616
Mailing Address - Country:US
Mailing Address - Phone:908-273-2241
Mailing Address - Fax:
Practice Address - Street 1:95 SUMMIT AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3633
Practice Address - Country:US
Practice Address - Phone:908-244-4101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC008438001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical