Individual provider Active NPI

Christine Stegman, LMSW

  • Social Worker
  • Port Jefferson Station, NY
National Provider Identifier
1154639011
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
080161-1 Issued in NY
Practice address
5225-46 RT. 347
Port Jefferson Station, NY 11777
Phone
(631) 928-4635
Fax
(631) 928-4284
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 080161-1 NY Primary

Addresses

Primary practice location

5225-46 RT. 347
Port Jefferson Station, NY 11777

Mailing address

5225-46 RT. 347
Port Jefferson Station, NY 11777
Phone (631) 928-4635

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

LicenseStateTypeSpecialty
080161-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1154639011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225-46 RT. 347",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-928-4635",
            "fax_number": "631-928-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225-46 RT. 347",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-928-4635",
            "fax_number": "631-928-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGMAN",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "080161-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.