Provider Demographics
NPI:1851520555
Name:LOPACINSKI, STEFANIE (EDD, DHS, MSW, LSW)
Entity Type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:
Last Name:LOPACINSKI
Suffix:
Gender:F
Credentials:EDD, DHS, MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 MARYLAND RD
Mailing Address - Street 2:SUITE #400
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1216
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1003 PONDEROSA RD
Practice Address - Street 2:
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-4506
Practice Address - Country:US
Practice Address - Phone:215-481-5450
Practice Address - Fax:215-481-5435
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW125973104100000X
PACW018921104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker