Individual provider Active NPI

Stephanie Nicole Hrit, LMSW

  • Clinical Social Worker
  • Jacksonville, NC
National Provider Identifier
1184273252
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801105356 Issued in MI
Practice address
122 Spring Leaf LN
Jacksonville, NC 28540-8830
Phone
(734) 497-4289
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 68011105356 MI
Clinical Social Worker 1041C0700X 6801105356 MI Primary

Addresses

Primary practice location

122 Spring Leaf LN
Jacksonville, NC 28540-8830

Mailing address

122 Spring Leaf LN
Jacksonville, NC 28540-8830
Phone (734) 497-4289

Other names 1

  • Stephanie Nicole Shaw Former name

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
6801105356MIMDClinical Social Worker
68011105356MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Rising Therapy PLLC CurrentSince Dec 22, 2024 Accepting new patients

Locations

1320 N Campbell Rd
Ste 9
Royal Oak, MI 48067
Phone (248) 241-8635

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.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1184273252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SPRING LEAF LN",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285408830",
            "telephone_number": "734-497-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SPRING LEAF LN",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285408830",
            "telephone_number": "734-497-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRIT",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "68011105356",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SHAW",
            "middle_name": "NICOLE",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.