MEDICARE: STEPHANIE HEATHER SINGLETON LICSW

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	27681	MD
2	104100000X	Social Worker	LG50083786	DC
3	1041S0200X	School Social Worker	LC200003367	DC

General Provider Information

NPI Number	:	1922777044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE HEATHER SINGLETON LICSW

Provider Business Mailing Address
First Line	:	14608 MAN O WAR DR
Second Line	:
City	:	MITCHELLVILLE
State	:	MD
Zip	:	20721-1295
Country	:	US
Telephone Number	:	301-502-7381
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 MISSISSIPPI AVE SE FL 3
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-6124
Country	:	US
Telephone Number	:	202-488-3990
Fax Number	:

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

Provider Enumeration Date	:	09/11/2021
Last Update Date	:	10/31/2024

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Directions to “ STEPHANIE HEATHER SINGLETON LICSW” Practice Location

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