Provider Demographics
NPI:1447676721
Name:SLOWLY, STEPHANIE (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:
Last Name:SLOWLY
Suffix:
Gender:F
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 1:8103 RIDGETOWN DR
Mailing Address - Street 2:APT L
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-3515
Mailing Address - Country:US
Mailing Address - Phone:973-760-2426
Mailing Address - Fax:
Practice Address - Street 1:8103 RIDGETOWN DR
Practice Address - Street 2:APT L
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-3515
Practice Address - Country:US
Practice Address - Phone:973-760-2426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16850104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker