Individual provider Active NPI

Stephanie F Marnocha, LCSW

  • Clinical Social Worker
  • Centennial, CO
National Provider Identifier
1083131874
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09926193 Issued in CO
Practice address
9700 E Easter LN
Centennial, CO 80112-1136
Phone
(303) 213-1320
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0009921275 CO
Clinical Social Worker 1041C0700X 09926193 CO Primary

Addresses

Primary practice location

9700 E Easter LN
Centennial, CO 80112-1136

Mailing address

9700 E Easter LN
Centennial, CO 80112-1136
Phone (303) 213-1320

Other practice location 1

12600 E Jewell Ave
Aurora, CO 80012-5325
Phone (720) 747-3000

Other practice location 2

11777 E Wesley Ave
Aurora, CO 80014-1869
Phone (720) 747-2200

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

LicenseStateTypeSpecialty
0009921275COMDSocial Worker
09926193COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1083131874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 E EASTER LN",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121136",
            "telephone_number": "303-213-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 E EASTER LN",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121136",
            "telephone_number": "303-213-1320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12600 E Jewell Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800125325",
            "country_code": "US",
            "telephone_number": "720-747-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11777 E Wesley Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800141869",
            "country_code": "US",
            "telephone_number": "720-747-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARNOCHA",
        "first_name": "STEPHANIE",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009921275",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.