Active NPI
Monique Clemente Stifter
- Clinical Social Worker
- Fort Sam Houston, TX
National Provider Identifier
1144430331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 31222
- Practice address
- 3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501 - Phone
- (866) 530-5693
- NPI assigned
- May 23, 2007
- 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 | 31222 | TX | Primary |
Addresses
Primary practice location
3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Mailing address
3288 Schofield Rd
Building 3822
Ft Sam Houston, TX 78234
Phone (210) 416-7756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31222 | Other | TX | LICSW |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31222 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1144430331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3288 SCHOFIELD RD",
"address_2": "BUILDING 3822",
"city": "FT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-416-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344501",
"telephone_number": "866-530-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIFTER",
"first_name": "MONIQUE",
"middle_name": "CLEMENTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2021-11-01",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "31222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW",
"identifier": "31222",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.