1184716961 NPI number — STEPHEN JOEL SIGELMAN LCSW-C

Table of content: CYNTHIA NICHOLE WARE LPCA (NPI 1497227789)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184716961 NPI number — STEPHEN JOEL SIGELMAN LCSW-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SIGELMAN
Provider First Name:
STEPHEN
Provider Middle Name:
JOEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW-C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184716961
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PSC 78 BOX 686
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AP
Provider Business Mailing Address Postal Code:
96326-0007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-225-9546
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DEFENSE HEALTH AGENCY
Provider Second Line Business Practice Location Address:
INDO-PACIFIC MARKET 374TH MED GROUP, YOKOTA AIRBASE
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-225-9546
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  25793 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1715928 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".




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