Provider Demographics
NPI:1669952099
Name:FACEY, STEENA MARCIA (LCSW)
Entity type:Individual
Prefix:
First Name:STEENA
Middle Name:MARCIA
Last Name:FACEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:STEENA
Other - Middle Name:
Other - Last Name:GUERIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2235 NE COACHMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765
Mailing Address - Country:US
Mailing Address - Phone:727-474-8836
Mailing Address - Fax:727-322-2110
Practice Address - Street 1:1051 PERSIMMON DR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-5524
Practice Address - Country:US
Practice Address - Phone:512-577-1263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW153441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical