Provider / Organization | NPI | Date Certified |
---|---|---|
STEPHANIE M DECKER | 1932530029 | 2024-03-10 |
Stephanie M Decker [F] graduated in 2013 and primarily specializes in Clinical Social Worker.
Stephanie M Decker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932530029. Registration indicates Stephanie M Decker is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
PECOS ID | 6507158235 |
Registration | PART-B:Y DME:Y HHA:N PMD:N |
Entity Type | Individual |
Provider Name | Stephanie M Decker LCSW |
Practice Office Address | 301 MOHAWK TRL DEFOREST, WI US |
Practice Office Telephone | 8127194633 |
Mailing Address | 1755 STATE ROUTE 1389 HAWESVILLE, KY 423486522 US |
Business Telephone | 8127191401 |
Address | City / State | Phone / Fax |
---|---|---|
100 W 3rd St Ste 304 | Owensboro, KY 423034129 | 8127194633 / 2706989778 |
2211 Mayfair Dr Ste 409 | Owensboro, KY 423014570 | 2704177980 / 2704177989 |
Direct Messaging Address [] | [email protected] | Owensboro Health Medical Group, Inc |
Code | Practice | License No State |
---|---|---|
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 5136
KY |