Provider Demographics
NPI:1912554429
Name:NTI, STEPHANIE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:
Last Name:NTI
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 SILVER SPRING AVE STE 409
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4617
Mailing Address - Country:US
Mailing Address - Phone:301-760-4322
Mailing Address - Fax:
Practice Address - Street 1:817 SILVER SPRING AVE STE 409
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4617
Practice Address - Country:US
Practice Address - Phone:301-760-4322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082664104100000X
DCLG50083008104100000X
MD16757104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker