Individual provider · Type 1 NPI

Stephanie Irene Brave Eagle, LCSW

Clinical Social Worker · Selmer, TN

NPI number 1700556479 Active

Practice location

PO Box 152
Selmer, TN 38375-0152

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XC11578 (MS)
Clinical Social Worker 1041C0700X6342C (AL)
Clinical Social Worker Primary 1041C0700X7802 (TN)

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…

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About NPI 1700556479

Stephanie Irene Brave Eagle, LCSW's National Provider Identifier is 1700556479, issued on Sep 15, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Selmer, TN. The record was last updated on Sep 9, 2026.