Individual provider Active NPI

Stephen R Witte, LCSW-R

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1013213941
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
658 Issued in CT
Practice address
57 South St Apt 7
Danbury, CT 06810
Phone
(203) 791-1234
Fax
(203) 456-5117
NPI assigned
Feb 10, 2011
Last updated
Jun 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR020131-1 NY
Clinical Social Worker 1041C0700X 658 CT Primary

Addresses

Primary practice location

57 South St Apt 7
Danbury, CT 06810

Mailing address

57 South St Apt 7
Danbury, CT 06810-8173
Phone (203) 791-1234

Other practice location 1

75 Seminary Hill Rd
Carmel, NY 10512-1921
Phone (845) 225-3400

Other identifiers 1

IdentifierTypeStateIssuer
00274126MedicaidNY

Other names 1

  • Stephen R Witte Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR020131-1NYMDClinical Social Worker
658CTMDChiropractor
020131NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1013213941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SOUTH ST APT 7",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068108173",
            "telephone_number": "203-791-1234",
            "fax_number": "203-456-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SOUTH ST APT 7",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-791-1234",
            "fax_number": "203-456-5117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Seminary Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "105121921",
            "country_code": "US",
            "telephone_number": "845-225-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTE",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-10",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR020131-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00274126",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "WITTE",
            "middle_name": "R",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.