Provider Demographics
NPI:1902798929
Name:STEPHENS, JOEL D (LICSW)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:D
Last Name:STEPHENS
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 S NEW OAK LN
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-5447
Mailing Address - Country:US
Mailing Address - Phone:509-300-7828
Mailing Address - Fax:
Practice Address - Street 1:1107 S NEW OAK LN
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-5447
Practice Address - Country:US
Practice Address - Phone:509-300-7828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical