Provider Demographics
NPI:1407213242
Name:COPPER, STEPHANIE FUCHS (LCSW-C)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:FUCHS
Last Name:COPPER
Suffix:
Gender:
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3236
Mailing Address - Country:US
Mailing Address - Phone:443-786-0317
Mailing Address - Fax:
Practice Address - Street 1:11 BAY ST STE 4
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-2745
Practice Address - Country:US
Practice Address - Phone:443-786-0317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-25
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD172511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical