Provider Demographics
NPI:1134497894
Name:SEYMOUR, STEPHANIE ASHER (LCSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ASHER
Last Name:SEYMOUR
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 1:12844 VALLEYHILL ST
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-6420
Mailing Address - Country:US
Mailing Address - Phone:404-556-9850
Mailing Address - Fax:
Practice Address - Street 1:12844 VALLEYHILL ST
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-6420
Practice Address - Country:US
Practice Address - Phone:404-556-9850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0041841041C0700X
TNLSW00000056341041C0700X
VA09040174211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical