Individual provider Active NPI

Stephanie Wahl

  • Social Worker
  • Zanesville, OH
National Provider Identifier
1003300641
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.2002313-SUPV
Practice address
58 N 5TH St Ste 102
Zanesville, OH 43701-3527
Phone
(740) 214-6443
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.2002313-SUPV Primary

Addresses

Primary practice location

58 N 5TH St Ste 102
Zanesville, OH 43701-3527

Mailing address

PO Box 3103
Zanesville, OH 43702-3103
Phone (740) 214-6443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208002185 OH Practitioner - Clinical Social Worker 5395157770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Pathways Counseling, LLC Social Worker CurrentSince Jun 21, 2022 Accepting new patients
Stephanie Wahl Counseling and Consultation Current Accepting new patients
Restorative Pathways Counseling, LLC CurrentSince Jul 16, 2023 Accepting new patients

Locations

58 N 5th St
Ste 102
Zanesville, OH 43701
Phone (740) 214-6443

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1003300641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3103",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437023103",
            "telephone_number": "740-214-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N 5TH ST STE 102",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013527",
            "telephone_number": "740-214-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "I.2002313-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.