Individual provider Active NPI

Stephanie L Craft, LISW

  • Clinical Social Worker
  • Waverly, OH
National Provider Identifier
1144528019
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1100034-SUPV Issued in OH
Practice address
227 Valley View Drive
Waverly, OH 45690-9135
Phone
(740) 947-7726
Fax
(740) 947-9354
NPI assigned
Mar 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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 I.1100034-SUPV OH Primary

Addresses

Primary practice location

227 Valley View Drive
Waverly, OH 45690-9135

Mailing address

941 Market Street
Piketon, OH 45661-9757
Phone (740) 289-2371

Other identifiers 1

IdentifierTypeStateIssuer
0270932MedicaidOH

Other names 1

  • Mrs. Stephanie L Craft Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20110330001016 OH Practitioner - Clinical Social Worker 8820271711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Action Committee of Pike County 17 clinicians

Practice addresses (Care Compare)

13800 US Hwy 23
Waverly, OH 45690-9402
Phone (740) 947-2480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1100034-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Committee of Pike County Current Accepting new patients
Community Action Committee of Pike County Current Accepting new patients
Community Action Committee of Pike County CurrentSince Sep 25, 2023 Accepting new patients
Community Action Committee of Pike County Current Accepting new patients
Community Action Committee of Pike County Past Accepting new patients
Community Action Committee of Pike County Past Accepting new patients
Community Action Committee of Pike County Past Accepting new patients

Locations

941 Market St
Piketon, OH 45661
Phone (740) 289-2371

227 Valley View Dr
Waverly, OH 45690
Phone (740) 947-7726

13800 US Highway 23
Waverly, OH 45690
Phone (740) 947-2480

Interoperability endpoints

  • Direct secure messaging: stephanie.craft@vvhcw.eclinicaldirectplus.com

Organizations & group practices 12

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": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1144528019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 MARKET STREET",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619757",
            "telephone_number": "740-289-2371",
            "fax_number": "740-289-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 VALLEY VIEW DRIVE",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909135",
            "telephone_number": "740-947-7726",
            "fax_number": "740-947-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1100034-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270932",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CRAFT",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waverly, OH

Sources for this page

Verify at the official NPI Registry.