Active NPI
Stephanie Michelle Dansky, LCSW
- Clinical Social Worker
- Rincon, GA
National Provider Identifier
1053897009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006980
- Practice address
- 135 Goshen Road Ext Ste 256
Rincon, GA 31326-5575 - Phone
- (912) 421-1000
- Fax
- (912) 421-1189
- NPI assigned
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW006980 | GA | Primary |
Addresses
Primary practice location
135 Goshen Road Ext Ste 256
Rincon, GA 31326-5575
Mailing address
135 Goshen Road Ext Ste 256
Rincon, GA 31326-5575
Phone (912) 421-1000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006980 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Counseling, Inc | Current | Accepting new patients |
Locations
135 Goshen Road Ext
Ste 203
Rincon, GA 31326
Phone (912) 355-3881
135 Goshen Road Ext
Ste 256
Rincon, GA 31326
Phone (912) 421-1000
Organizations & group practices 1
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.
-
- Professional Counselor
- Rincon, GA
- NPI 1437657160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1053897009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 GOSHEN ROAD EXT STE 256",
"city": "RINCON",
"state": "GA",
"postal_code": "313265575",
"telephone_number": "912-421-1000",
"fax_number": "912-421-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 GOSHEN ROAD EXT STE 256",
"city": "RINCON",
"state": "GA",
"postal_code": "313265575",
"telephone_number": "912-421-1000",
"fax_number": "912-421-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANSKY",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.