Active NPI
Nicole Stolzenbach
- Clinical Social Worker
- Morgantown, WV
National Provider Identifier
1174894927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BP00943566
- Practice address
- 165 Scott Ave
Morgantown, WV 26508-8847 - Phone
- (304) 292-1716
- NPI assigned
- Jan 24, 2012
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW12803 | PA | |
| Clinical Social Worker | 1041C0700X | BP00943566 | WV | Primary |
Addresses
Primary practice location
165 Scott Ave
Morgantown, WV 26508-8847
Mailing address
165 Scott Ave
Morgantown, WV 26508-8847
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW12803 | PA | MD | Social Worker |
| BP00943566 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florence Crittenton Services Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Morgantown, WV
- NPI 1265651970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1174894927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SCOTT AVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265088847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SCOTT AVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265088847",
"telephone_number": "304-292-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLZENBACH",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW12803",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "BP00943566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.