Timothy Michael Stanfield Jr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019039 Issued in NC

Practice address

1922 S Martin Luther King Jr Dr Ste 225
Winston Salem, NC 27107-1361

Phone

(133) 464-3136

NPI assigned

Jun 29, 2023

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1073290367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MOSER ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532449",
            "telephone_number": "336-269-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 S MARTIN LUTHER KING JR DR STE 225",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071361",
            "telephone_number": "133-464-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFIELD",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara H Stamper, MS
• Cameron Stanek, PHARM.D.
• Lawrence Stanek
• Melanie Stanek, PA-C
• Megan Ruth Stanfield, LCMHC-A
• Mariah Corbin Stanick, ACNP
• Jennifer Dianne Stanislaus, M.D.
• Brianna Nicole Chambers Stanley, DO
• Catherine Leigh Stanley, LCSW
• Christy S Stanley

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.