Stephanie L Justice, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007704 Issued in NC

Practice address

1229 John Austin CT
Kernersville, NC 27284-3764

Phone

(281) 619-4555

NPI assigned

Nov 18, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1134496102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 JOHN AUSTIN CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843764",
            "telephone_number": "281-619-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 JOHN AUSTIN CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843764",
            "telephone_number": "281-619-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50889",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison B Joshua
• Carolina Juanico Cela, PHARMD
• Judith Juarez
• Juawana C Hall OD PLLC
• Cathy M Judge Swaney, MD
• K. Jasinski, D.M.D., P.C.
• K. Jasinski, D.M.D., P.C.
• Benjamin Edward Kanzigg
• Ari Marie Kassouf
• Jessica Lynn Katz, DC

• Clinical Social Worker in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.