Individual provider Active NPI

Vera K Stephens, BA, MSW, LISW-S

  • Clinical Social Worker
  • Flushing, OH
National Provider Identifier
1174592281
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I8719 Issued in OH
Practice address
436 High St
Flushing, OH 43977-9733
Phone
(740) 968-7049
NPI assigned
Mar 14, 2006
Last updated
Jul 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I8719 OH Primary

Addresses

Primary practice location

436 High St
Flushing, OH 43977-9733

Mailing address

436 High St
Flushing, OH 43977-9733
Phone (740) 968-7049

Other identifiers 5

IdentifierTypeStateIssuer
246001OtherOHMOUNT CARMEL PIN
Y555070OtherOHTHE HEALTH PLAN PIN
267557000OtherOHMAGELLAN PIN
218930OtherOHTRICARE/MHN PIN
000000235902OtherOHANTHEM PIN

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)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
I8719OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1174592281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 HIGH ST",
            "city": "FLUSHING",
            "state": "OH",
            "postal_code": "439779733",
            "telephone_number": "740-968-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 HIGH ST",
            "city": "FLUSHING",
            "state": "OH",
            "postal_code": "439779733",
            "telephone_number": "740-968-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "VERA",
        "middle_name": "K",
        "credential": "BA, MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I8719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNT CARMEL PIN",
            "identifier": "246001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE HEALTH PLAN PIN",
            "identifier": "Y555070",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PIN",
            "identifier": "267557000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/MHN PIN",
            "identifier": "218930",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000235902",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.