Healthcare Provider Details

I. General information

NPI: 1548549462
Provider Name (Legal Business Name): STEPHANIE SUE KEMP LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE SUE SIKMA LMSW

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 6TH ST S
NAPLES FL
34102-7122
US

IV. Provider business mailing address

1222 SW 36TH ST
CAPE CORAL FL
33914-5154
US

V. Phone/Fax

Practice location:
  • Phone: 813-859-5819
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801093362
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW24085
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: