MRS. STEPHANIE MARIE DEATHERAGE
NPI 1669090346
Social Worker - Clinical in Costa Mesa, CA
About Mrs. Stephanie Marie Deatherage NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STEPHANIE MARIE DEATHERAGE (NPI 1669090346) is an individual clinical provider in Costa Mesa, California, licensed in California (LCSW129363) and active in the NPI registry since July 2020.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stephanie Deatherage's NPI number?
The NPI number for Stephanie Deatherage is 1669090346. It was assigned to this individual provider in the NPPES registry on July 9, 2020.
Where is Stephanie Deatherage located?
Stephanie Deatherage practices at 3505 Cadillac Avenue Building O, Suite 110, Costa Mesa, CA 92626. The listed phone number is (949) 290-0114.
What is Stephanie Deatherage's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Stephanie Deatherage was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.