Provider Demographics
NPI:1144851429
Name:ENGLE, STEPHANIE MAZZONI (LCSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MAZZONI
Last Name:ENGLE
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 1:111 HUNTER DR
Mailing Address - Street 2:
Mailing Address - City:NEWFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08344-9529
Mailing Address - Country:US
Mailing Address - Phone:856-238-1044
Mailing Address - Fax:
Practice Address - Street 1:2581 E CHESTNUT AVE STE B
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-8487
Practice Address - Country:US
Practice Address - Phone:856-238-1044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC058602001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical