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NPI Code Detail

MEDICARE: STEPHANIE BEAUSOLEIL LMSW

MEDICARE: STEPHANIE BEAUSOLEIL LMSW
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
1104100000XSocial Worker0009925097CO

General Provider Information

NPI Number : 1922962075
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BEAUSOLEIL LMSW
Provider Business Mailing Address
First Line : 1375 N SCOTTSDALE RD STE 200
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-3429
Country : US
Telephone Number : 480-877-9284
Fax Number :
Provider Business Practice Location Address
First Line : 1375 N SCOTTSDALE RD STE 200
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-3429
Country : US
Telephone Number : 480-877-9284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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