Active NPI
Stephanie Michell Rothenberger
- Social Worker
- Frederick, MD
National Provider Identifier
1043739147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 23979
- Practice address
- 1003 W 7TH St
Frederick, MD 21701 - Phone
- (301) 345-1022
- NPI assigned
- Sep 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 23979 | MD | Primary |
Addresses
Primary practice location
1003 W 7TH St
Frederick, MD 21701
Mailing address
7474 Greenway Center Dr Ste 730
Greenbelt, MD 20770-3523
Phone (301) 345-1022
Other practice location 1
1113 Healthway Dr
Salisbury, MD 21804-4470
Phone (410) 334-6961
Other practice location 2
1113 Healthway Dr
Salisbury, MD 21804-4470
Phone (410) 334-6961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 609550001 | Medicaid | MD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1043739147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 730",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703523",
"telephone_number": "301-345-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21701",
"telephone_number": "301-345-1022"
}
],
"practiceLocations": [
{
"address_1": "1113 Healthway Dr",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218044470",
"country_code": "US",
"telephone_number": "410-334-6961",
"fax_number": "410-334-6961",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1113 Healthway Dr",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218044470",
"country_code": "US",
"telephone_number": "410-334-6961",
"fax_number": "410-334-6961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTHENBERGER",
"first_name": "STEPHANIE",
"middle_name": "MICHELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "23979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.