Provider Demographics
NPI:1184716961
Name:SIGELMAN, STEPHEN JOEL (LCSW-C)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:JOEL
Last Name:SIGELMAN
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 78 BOX 686
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96326-0007
Mailing Address - Country:US
Mailing Address - Phone:315-225-9546
Mailing Address - Fax:
Practice Address - Street 1:DEFENSE HEALTH AGENCY
Practice Address - Street 2:INDO-PACIFIC MARKET 374TH MED GROUP, YOKOTA AIRBASE
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96326
Practice Address - Country:US
Practice Address - Phone:315-225-9546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD257931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1715928Medicaid