Provider Demographics
NPI:1932309481
Name:LANIER, STEPHANIE CLINE (P-LCSW)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:CLINE
Last Name:LANIER
Suffix:
Gender:F
Credentials:P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CINEMA DR STE C
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-1494
Mailing Address - Country:US
Mailing Address - Phone:910-362-8000
Mailing Address - Fax:910-362-8008
Practice Address - Street 1:140 CINEMA DR STE C
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-1494
Practice Address - Country:US
Practice Address - Phone:910-362-8000
Practice Address - Fax:910-362-8008
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPOO41431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical