Provider Demographics
NPI:1801170261
Name:WETHRINGTON, STEPHANIE RHYNE (MSW,LCSW, LCAS, CCS)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:RHYNE
Last Name:WETHRINGTON
Suffix:
Gender:F
Credentials:MSW,LCSW, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3920-B OLD CHERRY POINT RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560
Mailing Address - Country:US
Mailing Address - Phone:252-571-6706
Mailing Address - Fax:877-422-1279
Practice Address - Street 1:3920-B OLD CHERRY POINT RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560
Practice Address - Country:US
Practice Address - Phone:252-571-6706
Practice Address - Fax:877-422-1279
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0073641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical