Active NPI
Stephanie Lynn Wright, ASW
- Clinical Social Worker
- Redding, CA
National Provider Identifier
1144757204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 76717
- Practice address
- 855 Canyon Rd
Redding, CA 96001-5544 - Phone
- (530) 378-1855
- Fax
- (530) 232-1444
- NPI assigned
- May 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 76717 | CA | |
| Clinical Social Worker | 1041C0700X | 76717 | CA | Primary |
Addresses
Primary practice location
855 Canyon Rd
Redding, CA 96001-5544
Mailing address
855 Canyon Rd
Redding, CA 96001-5544
Phone (530) 378-1855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18191 Von Karman Ave
Suite 100
Irvine, CA 92612-7103
Phone (619) 639-9730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76717 | CA | MD | Pharmacist |
| 97401 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenn Medical Center, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Santa Ana, CA
- NPI 1922675644
-
dba Glenn Medical Center
- Critical Access Hospital
- Willows, CA
- NPI 1619929759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144757204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 CANYON RD",
"city": "REDDING",
"state": "CA",
"postal_code": "960015544",
"telephone_number": "530-378-1855",
"fax_number": "530-232-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 CANYON RD",
"city": "REDDING",
"state": "CA",
"postal_code": "960015544",
"telephone_number": "530-378-1855",
"fax_number": "530-232-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "76717",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.