Individual provider Active NPI

Stephanie Michell Rothenberger

  • Social Worker
  • Frederick, MD
National Provider Identifier
1043739147
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
23979 Issued in MD
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

Updated by the provider on Jul 10, 2018

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 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

IdentifierTypeStateIssuer
609550001MedicaidMD

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.

Verify at the official NPI Registry.