Gregg Alan Stephens, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0900336-S Issued in OH

Practice address

244 Paddock CT
Delaware, OH 43015-1317

Phone

(567) 674-1886

Fax

(740) 362-5073

NPI assigned

Oct 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, FL2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coleman Professional Services, Inc.

  • Mental Health Counselor
  • Kent, OH
  • NPI 1982637633

  Clinical

  Medicare reassignment NPD
• Lifesource of North Carolina

  • Clinical Social Worker
  • Holland, OH
  • NPI 1619515277
  Medicare reassignment NPD
• Mindbridge Integrated Health LLC

  • Clinical Social Worker
  • Delaware, OH
  • NPI 1942078753
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment NPD
• Lifesource of North Carolina

  • Psychologist
  • Milton, FL
  • NPI 1730648288

  Clinical

  NPD
• From Seedling to Blossom

  • Mental Health Counselor
  • Venice, FL
  • NPI 1952758971
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1053508309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072",
            "fax_number": "419-549-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 PADDOCK CT",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151317",
            "telephone_number": "567-674-1886",
            "fax_number": "740-362-5073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Silver St",
            "address_purpose": "LOCATION",
            "city": "Kenton",
            "state": "OH",
            "postal_code": "433261499",
            "country_code": "US",
            "telephone_number": "419-679-5994",
            "fax_number": "419-225-8878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "GREGG",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0900336-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard F Stahr, D.O.
• Bailey Stainbrook
• Rachel Starner
• Richard Steele
• Timothy Addison Steele
• Joanne Theresa Stephens, LPN
• Donald Stephenson III
• Angela Stevens
• Briannah Stevens
• Dalton Stevens

• Clinical Social Worker in Delaware, OH
• Providers in Delaware, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.