Provider Demographics
NPI:1538942925
Name:PLUIM, STEPHANIE AIGUIER (ACSW)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:AIGUIER
Last Name:PLUIM
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:AIGUIER
Other - Last Name:GAITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2521 HILLTOP DR # 323
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0519
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1201 INDUSTRIAL ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0757
Practice Address - Country:US
Practice Address - Phone:530-691-4453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1171031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical