Provider Demographics
NPI:1104296052
Name:STEPANSKY, JAIME (LCSW)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:STEPANSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 LENOX POINTE NE STE B
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-7424
Mailing Address - Country:US
Mailing Address - Phone:678-561-5831
Mailing Address - Fax:
Practice Address - Street 1:2900 PACES FERRY RD SE STE C2000
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-5730
Practice Address - Country:US
Practice Address - Phone:678-561-5831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW008206104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker