Individual
STACIE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MS
Contact information
Practice address
9707 NANTICOKE CIR, SEAFORD, DE 19973-8641
(302) 536-9317
(302) 990-5376
Mailing address
9707 NANTICOKE CIR, SEAFORD, DE 19973-8641
(302) 536-9317
(302) 990-5376
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Q1-0001251
DE
101YA0400X
Addiction (Substance Use Disorder) Counselor
Q1-0001251
DE
101YM0800X
Mental Health Counselor
Primary
Q1-0001251
DE
101YP2500X
Professional Counselor
Q1-0001251
DE
104100000X
Social Worker
Q1-0001251
DE
106H00000X
Marriage & Family Therapist
Q1-0001251
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477981629
ORGANIZATION NPI
DE
01
—
2016606905
BUSINESS LICENSE
DE
Enumeration date
01/23/2017
Last updated
01/23/2017
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