Healthcare Provider Details

I. General information

NPI: 1669952099
Provider Name (Legal Business Name): STEENA MARCIA FACEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEENA GUERIN LCSW

II. Dates (important events)

Enumeration Date: 08/15/2018
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 PERSIMMON DR
PALM HARBOR FL
34683-5524
US

IV. Provider business mailing address

2235 NE COACHMAN ROAD
CLEARWATER FL
33765
US

V. Phone/Fax

Practice location:
  • Phone: 512-577-1263
  • Fax:
Mailing address:
  • Phone: 727-474-8836
  • Fax: 727-322-2110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW15344
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: