Provider Demographics
NPI:1669083838
Name:DEWINSKI, STEPHANIE MICHELE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:MICHELE
Last Name:DEWINSKI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 S BATAVIA AVE
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-2921
Mailing Address - Country:US
Mailing Address - Phone:630-482-9699
Mailing Address - Fax:
Practice Address - Street 1:528 S BATAVIA AVE
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-2921
Practice Address - Country:US
Practice Address - Phone:630-482-9699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0224481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical