Stephanie Karen Self-Bence, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60097153 Issued in WA

Practice address

615 N 2ND St
Tacoma, WA 98403-2232

Phone

(206) 375-4021

NPI assigned

Jan 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1144687310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 14TH AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981463033",
            "telephone_number": "206-375-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 2ND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032232",
            "telephone_number": "206-375-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF-BENCE",
        "first_name": "STEPHANIE",
        "middle_name": "KAREN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60097153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Seiwerath
• Floyd Sekeramayi, M.D.
• Kimberly Ann Selby
• John Henry Selden, PT
• Select Services by Ops, PLLC
• Sue Self, PEER COUNSELOR
• William T. Sellers, CRNA
• Megan Sierra Selvage, LMHC
• Karl Harry Sembroski, PA-C
• David Charles Semerad II, M.D.

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.