Healthcare Provider Details

I. General information

NPI: 1972073567
Provider Name (Legal Business Name): JOYCE STEPNAK LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2018
Last Update Date: 11/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19611 E. 8 MILE RD
SCS MI
48080
US

IV. Provider business mailing address

19611 E. 8 MILE RD
SCS MI
48080
US

V. Phone/Fax

Practice location:
  • Phone: 586-541-9550
  • Fax: 586-204-3382
Mailing address:
  • Phone: 586-541-9550
  • Fax: 586-204-3382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801101376
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: