# KERI STEPHANOFF

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1578066544
- **Gender:** F
- **Credential:** LCSW, LCPC, LBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | BBH-LCPC-LIC-34703 | MT | — |
| 103K00000X | Behavior Analyst | 1-21-48155 | MT | — |
| 1041C0700X | Clinical Social Worker | BBH-LCSW-LIC-38882 | MT | Yes |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 02/03/2022