Active NPI
Stephanie Grace Cannistraro
- Social Worker
- Taunton, MA
National Provider Identifier
1063361434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW229520
- Practice address
- 164 Somerset Ave
Taunton, MA 02780-4622 - Phone
- (774) 501-0108
- NPI assigned
- Jan 27, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW229520 | MA | Primary |
Addresses
Primary practice location
164 Somerset Ave
Taunton, MA 02780-4622
Mailing address
164 Somerset Ave
Taunton, MA 02780-4622
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 |
|---|---|---|---|
| LCSW229520 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1063361434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 SOMERSET AVE",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027804622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 SOMERSET AVE",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027804622",
"telephone_number": "774-501-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNISTRARO",
"first_name": "STEPHANIE",
"middle_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-27",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "LCSW229520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.