Provider Demographics
NPI:1447300215
Name:MCDOWELL, STEPHANIE MARIE (LISW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MARIE
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 3RD ST SE STE 319
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52401-1508
Mailing Address - Country:US
Mailing Address - Phone:319-366-3297
Mailing Address - Fax:319-364-0831
Practice Address - Street 1:222 3RD ST SE STE 319
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-1508
Practice Address - Country:US
Practice Address - Phone:319-366-3297
Practice Address - Fax:319-364-0831
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0081011041C0700X
CA266151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical