Provider Demographics
NPI:1205454121
Name:STEVENS, SERRINA JANINE (LCSW-A)
Entity type:Individual
Prefix:MRS
First Name:SERRINA
Middle Name:JANINE
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-9103
Mailing Address - Country:US
Mailing Address - Phone:828-231-0005
Mailing Address - Fax:
Practice Address - Street 1:136 CREEKVIEW CT
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-6519
Practice Address - Country:US
Practice Address - Phone:828-772-4394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0147831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical