Provider Demographics
NPI:1982236030
Name:COMBS, STEPHANIE M (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:M
Last Name:COMBS
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 1:1380 IVY LN
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-3070
Mailing Address - Country:US
Mailing Address - Phone:307-215-4064
Mailing Address - Fax:
Practice Address - Street 1:1380 IVY LN
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-3070
Practice Address - Country:US
Practice Address - Phone:307-215-4064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5458C1041C0700X
CT133511041C0700X
IDLCSW-440361041C0700X
IA1220891041C0700X
KY2583571041C0700X
MELC228591041C0700X
MSC108361041C0700X
MTBBH-LCSW-LIC-648191041C0700X
NV11302-C1041C0700X
OK205691041C0700X
RIISW039391041C0700X
UTLCSW-13534954-35011041C0700X
VT089.01355271041C0700X
VALCSW-09040157741041C0700X
WYLCSW-13121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical