MEDICARE: STEPHANIE HERMAN MSW, LCSW

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	1041C0700X	Clinical Social Worker	0904004945	VA
2	1041C0700X	Clinical Social Worker	09542	MD
3	1041S0200X	School Social Worker	PPS-558826	VA

General Provider Information

NPI Number	:	1841688074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE HERMAN MSW, LCSW

Provider Business Mailing Address
First Line	:	207 CHERRY ST SW
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22180-5703
Country	:	US
Telephone Number	:	703-328-8831
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 CHERRY ST SW
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22180-5703
Country	:	US
Telephone Number	:	703-328-8831
Fax Number	:

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

Provider Enumeration Date	:	12/22/2014
Last Update Date	:	06/12/2026

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