Individual provider Active NPI

Stephanie Dawn Vanover, MSW, LSW

  • Social Worker
  • South Point, OH
National Provider Identifier
1023523545
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1302320 Issued in OH
Practice address
178 Private Road 19423
South Point, OH 45680-8831
Phone
(740) 263-2626
Fax
(740) 894-1132
NPI assigned
Dec 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00942690 WV
Social Worker 104100000X S.1302320 OH Primary

Addresses

Primary practice location

178 Private Road 19423
South Point, OH 45680-8831

Mailing address

178 Private Road 19423
South Point, OH 45680-8831
Phone (740) 263-2626

Other practice location 1

1000 5th Ave Ste 250
Huntington, WV 25701-2238
Phone (304) 733-0036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20211109003184 WV Practitioner - Clinical Social Worker 1850780073 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1302320OHMDSocial Worker
BP00942690WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lilys Place Family Center CurrentSince Oct 25, 2021 Accepting new patients
Necco, LLC PastSince May 8, 2021 Accepting new patients

Locations

1235 6th Ave
Huntington, WV 25701
Phone (681) 432-0600

Organizations & group practices 2

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": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1023523545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 PRIVATE ROAD 19423",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808831",
            "telephone_number": "740-263-2626",
            "fax_number": "740-894-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 PRIVATE ROAD 19423",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808831",
            "telephone_number": "740-263-2626",
            "fax_number": "740-894-1132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 5th Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257012238",
            "country_code": "US",
            "telephone_number": "304-733-0036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANOVER",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00942690",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1302320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Point, OH

Sources for this page

Verify at the official NPI Registry.