Individual provider Active NPI

Sandra Rocio Stolfi, LCSW

  • Clinical Social Worker
  • Santa Rosa, CA
National Provider Identifier
1154790749
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
84362 Issued in CA
Practice address
3841 Brickway Blvd
Santa Rosa, CA 95403-8226
Phone
(707) 569-2300
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW65492 CA
Counselor 101Y00000X ASW65492 CA
Clinical Social Worker 1041C0700X 84362 CA Primary

Addresses

Primary practice location

3841 Brickway Blvd
Santa Rosa, CA 95403-8226

Mailing address

110 Shahan Dr
Cloverdale, CA 95425-3017
Phone (707) 894-3736

Other practice location 1

2225 Challenger Way
Santa Rosa, CA 95407-5441
Phone (707) 565-4766

Other practice location 2

3322 Chanate Rd
Santa Rosa, CA 95404-1708
Phone (707) 565-4850

Other practice location 3

2225 Challenger Way
Santa Rosa, CA 95407
Phone (707) 565-4766

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
ASW65492CAMDCounselor
84362CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1154790749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SHAHAN DR",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253017",
            "telephone_number": "707-894-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 BRICKWAY BLVD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038226",
            "telephone_number": "707-569-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Challenger Way",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954075441",
            "country_code": "US",
            "telephone_number": "707-565-4766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3322 Chanate Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954041708",
            "country_code": "US",
            "telephone_number": "707-565-4850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 Challenger Way",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "95407",
            "country_code": "US",
            "telephone_number": "707-565-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLFI",
        "first_name": "SANDRA",
        "middle_name": "ROCIO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW65492",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "ASW65492",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "84362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.