Provider Demographics
NPI:1891710646
Name:SHUCHART, STEPHANIE STRAUSS (LSCSW, LMSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:STRAUSS
Last Name:SHUCHART
Suffix:
Gender:F
Credentials:LSCSW, LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4960 FAIRMONT AVENUE
Mailing Address - Street 2:#1502
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6282
Mailing Address - Country:US
Mailing Address - Phone:816-363-2600
Mailing Address - Fax:816-523-0068
Practice Address - Street 1:4960 FAIRMONT AVENUE
Practice Address - Street 2:#1502
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6282
Practice Address - Country:US
Practice Address - Phone:816-363-2600
Practice Address - Fax:816-523-0068
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060125871041C0700X
MD255431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical