1891710646 NPI number — MS. STEPHANIE STRAUSS SHUCHART LSCSW, LMSW, LCSW

Table of content: MS. STEPHANIE STRAUSS SHUCHART LSCSW, LMSW, LCSW (NPI 1891710646)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891710646 NPI number — MS. STEPHANIE STRAUSS SHUCHART LSCSW, LMSW, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHUCHART
Provider First Name:
STEPHANIE
Provider Middle Name:
STRAUSS
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LSCSW, LMSW, LCSW
Provider Gender Code:
F

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:
1891710646
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4960 FAIRMONT AVENUE
Provider Second Line Business Mailing Address:
#1502
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20814-6282
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-363-2600
Provider Business Mailing Address Fax Number:
816-523-0068

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4960 FAIRMONT AVENUE
Provider Second Line Business Practice Location Address:
#1502
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20814-6282
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-363-2600
Provider Business Practice Location Address Fax Number:
816-523-0068
Provider Enumeration Date:
07/13/2006

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:  2006012587 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 25543 , 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)





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