Stephen Christopherson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149023199 Issued in IL

Practice address

535 Elm PL Ste 7
Princeton, IL 61356-1458

Phone

(815) 872-2943

Fax

(815) 915-8756

NPI assigned

May 19, 2021

Last updated

May 19, 2021By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arukah Institute of Healing Inc NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ottawa, IL
  • NPI 1023893997
  NPD
• Arukah Institute of Healing Inc NFP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Princeton, IL
  • NPI 1790352482
  NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1083288468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 ELM PL STE 7",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561458",
            "telephone_number": "815-872-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 ELM PL STE 7",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561458",
            "telephone_number": "815-872-2943",
            "fax_number": "815-915-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHERSON",
        "first_name": "STEPHEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Thomas Castelein, DDS MS
• Catching Joy Midwifery
• Rick S Cernovich, MD
• Tricia Kay Cervantes, LCSW
• Christ Community Church
• City of Princeton
• Colonial Healthcare and Rehabilitation Centre LLC (Colonial Healthcare and Rehabilitation Centre)
• Colonial Nursing and Rehabilitation Center
• Jennifer Comerford
• County of Bureau (Bureau County Health Department)

• Clinical Social Worker in Princeton, IL
• Providers in Princeton, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.