Provider Demographics
NPI:1164226536
Name:VILLANUEVA, STEFANNY (LCSW)
Entity type:Individual
Prefix:
First Name:STEFANNY
Middle Name:
Last Name:VILLANUEVA
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 1:16214 DUTTON CLOVER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2112
Mailing Address - Country:US
Mailing Address - Phone:409-665-5710
Mailing Address - Fax:
Practice Address - Street 1:16214 DUTTON CLOVER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-2112
Practice Address - Country:US
Practice Address - Phone:409-665-5710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1063051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical