Provider Demographics
NPI:1841763570
Name:GILBERT, STEPHANIE (LPC, LCPC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LPC, LCPC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:WEISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1050 CONNECTICUT AVE NW STE 500
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5304
Mailing Address - Country:US
Mailing Address - Phone:202-410-6908
Mailing Address - Fax:202-978-9448
Practice Address - Street 1:1050 CONNECTICUT AVE NW STE 500
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5304
Practice Address - Country:US
Practice Address - Phone:202-410-6908
Practice Address - Fax:202-978-9448
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-04
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC12936101YP2500X
DCPRC15101101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty