Healthcare Provider Details

I. General information

NPI: 1164791463
Provider Name (Legal Business Name): STEFANIE DANIELLE STAGGS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2011
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 S DIVISION ST
SPOKANE WA
99202-1510
US

IV. Provider business mailing address

8361 N FARMDALE CT
SPOKANE WA
99208-6883
US

V. Phone/Fax

Practice location:
  • Phone: 509-720-6113
  • Fax:
Mailing address:
  • Phone: 509-530-1185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW.61524532
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: