Individual provider Active NPI

Elizabeth Dunn Stephens, LCSW

  • Clinical Social Worker
  • Lincolnton, NC
National Provider Identifier
1124333026
Registry record updated Nov 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006729 Issued in NC
Practice address
117 N Poplar St
Lincolnton, NC 28092-3315
Phone
(704) 754-4726
Fax
(704) 754-4726
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006729 NC Primary

Addresses

Primary practice location

117 N Poplar St
Lincolnton, NC 28092-3315

Mailing address

117 N Poplar St
Lincolnton, NC 28092-3315
Phone (704) 754-4726

Other identifiers 1

IdentifierTypeStateIssuer
6007673MedicaidNC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C006729NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Live N Joy Counseling Services, PC Clinical CurrentSince Apr 6, 2021 Accepting new patients

Locations

201 W Main St
Lincolnton, NC 28092

117 N Poplar St
Lincolnton, NC 28092
Phone (704) 754-4726

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1124333026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N POPLAR ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923315",
            "telephone_number": "704-754-4726",
            "fax_number": "704-754-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N POPLAR ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923315",
            "telephone_number": "704-754-4726",
            "fax_number": "704-754-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ELIZABETH",
        "middle_name": "DUNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007673",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.