Provider Demographics
NPI:1942497409
Name:STEPLIGHT, CLARISSA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CLARISSA
Middle Name:
Last Name:STEPLIGHT
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 1:500 LEE ROAD 443
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36870-8022
Mailing Address - Country:US
Mailing Address - Phone:334-298-0333
Mailing Address - Fax:
Practice Address - Street 1:500 LEE ROAD 443
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36870-8022
Practice Address - Country:US
Practice Address - Phone:334-298-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0032331041C0700X
AL1748C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical