Healthcare Provider Details

I. General information

NPI: 1851926232
Provider Name (Legal Business Name): STEPHANIE DAWN CRESSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2020
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10411 MOTOR CITY DR STE 500
BETHESDA MD
20817-1005
US

IV. Provider business mailing address

10411 MOTOR CITY DR STE 500
BETHESDA MD
20817-1005
US

V. Phone/Fax

Practice location:
  • Phone: 703-552-2722
  • Fax:
Mailing address:
  • Phone: 703-552-2722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number23087
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: