Jennifer L Stineback, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95304 Issued in CA

Practice address

560 Cohasset Rd Ste 165
Chico, CA 95926-2460

Phone

(530) 879-3950

Fax

(530) 898-0239

NPI assigned

Jan 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer L Lyman Former name

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

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 and National Provider Directory roles.

• County of Butte

  • Adult Mental Health Clinic/Center
  • Chico, CA
  • NPI 1578623583

  Multi-Specialty

  Medicare reassignment NPD
• County of Butte

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paradise, CA
  • NPI 1174161343
  NPD

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1114258068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 COHASSET RD STE 165",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262460",
            "telephone_number": "530-879-3950",
            "fax_number": "530-898-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 COHASSET RD STE 165",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262460",
            "telephone_number": "530-879-3950",
            "fax_number": "530-898-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINEBACK",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "ASW64199",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LYMAN",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Allan Stewart Jr., M.D.
• Erik Dwight Stickney, M.D.
• Nanci Marie Stigge
• Mirra Anne Stillman
• Carrie Athena Stine, FNP
• Pamela Anne Stjohn, MFT
• Sean R. Stoddard, DPM
• Jennifer Christina Stofa, LMFT
• Laurie Ann Stollberg, LVN
• Stone Creek Counseling Center, Inc.

• Clinical Social Worker in Chico, CA
• Providers in Chico, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.