Provider Demographics
NPI:1861881567
Name:STEPANCZUK, JANICE (LCSW)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:STEPANCZUK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 WELLINGTON SQ
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1791
Mailing Address - Country:US
Mailing Address - Phone:708-227-6948
Mailing Address - Fax:
Practice Address - Street 1:217 CHURCH RD
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-4111
Practice Address - Country:US
Practice Address - Phone:267-409-6563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-18
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005825A1041C0700X
IL1490009321041C0700X
PACW0205891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical