Individual provider Active NPI

Stephanie Michelle Singer

  • Social Worker
  • Jamestown, NY
National Provider Identifier
1174098206
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
104961-1 Issued in NY
Practice address
200 E 3Rd St Ste 5
Jamestown, NY 14701-5433
Phone
(716) 661-8330
Fax
(716) 661-8364
NPI assigned
Oct 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 104961-1 NY Primary

Addresses

Primary practice location

200 E 3Rd St Ste 5
Jamestown, NY 14701-5433

Mailing address

1114 Lakeview Ave
Jamestown, NY 14701-2123

Other practice location 1

107 Institute St
Jamestown, NY 14701-6628
Phone (716) 484-4334

Other identifiers 1

IdentifierTypeStateIssuer
3760230MedicaidNY

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
104961-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Chautauqua - a Mun Corp CurrentSince Apr 25, 2021 Accepting new patients
The Chautauqua Center, Inc Current Accepting new patients
County of Chautauqua - a Mun Corp PastSince Apr 25, 2021 Accepting new patients

Locations

319 Central Ave
Dunkirk, NY 14048
Phone (716) 363-3550

319 Central Ave
#B
Dunkirk, NY 14048

110 E 4th St
Jamestown, NY 14701
Phone (716) 484-4334

200 E 3rd St
Ste 5
Jamestown, NY 14701
Phone (716) 661-8330

107 Institute St
Jamestown, NY 14701
Phone (716) 484-4334

Organizations & group practices 3

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1174098206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 LAKEVIEW AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 3RD ST STE 5",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015433",
            "telephone_number": "716-661-8330",
            "fax_number": "716-661-8364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Institute St",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147016628",
            "country_code": "US",
            "telephone_number": "716-484-4334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGER",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "104961-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3760230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.