Active NPI
Nancy J Stetter-Coblentz, LCSW
- Clinical Social Worker
- Venice, FL
National Provider Identifier
1093291833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15428
- Practice address
- 1790 E Venice Ave Ste 204
Venice, FL 34292-3191 - Phone
- (941) 488-8884
- Fax
- (941) 488-5554
- NPI assigned
- Jul 16, 2018
- Last updated
- Dec 10, 2020
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15428 | FL | Primary |
Addresses
Primary practice location
1790 E Venice Ave Ste 204
Venice, FL 34292-3191
Mailing address
1790 E Venice Ave Ste 204
Venice, FL 34292-3191
Phone (941) 488-8884
Other names 1
- Nancy J Stetter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1790 E Venice Ave
Suite 204
Venice, FL 34292-3191
Phone (941) 488-8884
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW15428 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Psychiatric Services Inc | Clinical | Current | Accepting new patients |
Locations
1790 E Venice Ave
Ste 204
Venice, FL 34292
Phone (941) 484-0766
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1093291833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 E VENICE AVE STE 204",
"city": "VENICE",
"state": "FL",
"postal_code": "342923191",
"telephone_number": "941-488-8884",
"fax_number": "941-488-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 E VENICE AVE STE 204",
"city": "VENICE",
"state": "FL",
"postal_code": "342923191",
"telephone_number": "941-488-8884",
"fax_number": "941-488-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STETTER-COBLENTZ",
"first_name": "NANCY",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "STETTER",
"middle_name": "J",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.