Individual provider · Type 1 NPI

Stephanie Profera

Clinical Social Worker · Andover, OH

NPI number 1578078549 Active

Practice location

158 W Main St
Andover, OH 44003-9318

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	I.2608732 (OH)
Social Worker	104100000X	S.2105847 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

13 other providers at this address

About NPI 1578078549

Stephanie Profera's National Provider Identifier is 1578078549, issued on Dec 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Andover, OH. The record was last updated on Sep 11, 2026.