NPIMap

Organization Active NPI

Stephanie Littlebrave

  • Clinical Social Worker
  • Sandpoint, ID
National Provider Identifier
1083010136
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STEPHANIE LITTLEBRAVE
Practice address
520 Cedar St
Suite E
Sandpoint, ID 83864-1569
Phone
(208) 627-3775
NPI assigned
Nov 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Stephanie Little Brave, LMSWNPI 1306105879
Title
Counselor
Phone
(208) 627-3775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

520 Cedar St
Suite E
Sandpoint, ID 83864-1569

Mailing address

252 Pinecrest Rd
Sandpoint, ID 83864-8296
Phone (208) 627-3775

National Provider Directory

National Provider Directory

Locations

520 Cedar St
Ste E
Sandpoint, ID 83864
Phone (208) 603-7646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1083010136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 PINECREST RD",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648296",
            "telephone_number": "208-627-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CEDAR ST",
            "address_2": "SUITE E",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641569",
            "telephone_number": "208-627-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE LITTLEBRAVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "LITTLE BRAVE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "208-627-3775",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.