MEDICARE: MR. JAMES STEFFEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	6801118699	MI
2	104100000X	Social Worker
3	1041C0700X	Clinical Social Worker	6801118699	MI

General Provider Information

NPI Number	:	1275267999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES STEFFEN

Provider Business Mailing Address
First Line	:	165 EMERALD CHASE DR
Second Line	:
City	:	LAKE ORION
State	:	MI
Zip	:	48362-3373
Country	:	US
Telephone Number	:	248-632-7320
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 W NEPESSING ST
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-2090
Country	:	US
Telephone Number	:	989-672-6160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2022
Last Update Date	:	02/13/2025

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