Active NPI
Stephanie Shirley Babcock, LMSW, IMH-E
- Clinical Social Worker
- Chesterfield, MI
National Provider Identifier
1053929927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801097106
- Practice address
- 31205 23 Mile Rd
Chesterfield, MI 48047-1848 - Phone
- (586) 213-1850
- Fax
- (586) 846-4354
- NPI assigned
- Jul 16, 2020
- 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 | 6801097106 | MI | Primary |
Addresses
Primary practice location
31205 23 Mile Rd
Chesterfield, MI 48047-1848
Mailing address
6430 Lozon Rd
Cottrellville, MI 48039-3109
Phone (586) 859-8349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14923053 | Other | MI | CAQH |
Other names 1
- Miss Stephanie Shirley Paetzke
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801097106 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1053929927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6430 LOZON RD",
"city": "COTTRELLVILLE",
"state": "MI",
"postal_code": "480393109",
"telephone_number": "586-859-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31205 23 MILE RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480471848",
"telephone_number": "586-213-1850",
"fax_number": "586-846-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABCOCK",
"first_name": "STEPHANIE",
"middle_name": "SHIRLEY",
"name_prefix": "Mrs.",
"credential": "LMSW, IMH-E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801097106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14923053",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "PAETZKE",
"middle_name": "SHIRLEY",
"prefix": "MISS",
"credential": "LLMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.