Healthcare Provider Details

I. General information

NPI: 1871457028
Provider Name (Legal Business Name): STEPHANIE FRUEHLING LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEVIE FRUEHLING LCSW-C

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 JOHNSON RD
ANNAPOLIS MD
21409-6304
US

IV. Provider business mailing address

1825 JOHNSON RD
ANNAPOLIS MD
21409-6304
US

V. Phone/Fax

Practice location:
  • Phone: 410-920-8215
  • Fax:
Mailing address:
  • Phone: 410-920-8215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29086
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: