Individual provider Active NPI

Stephanie Margarete Koenig, LCSW-A

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1194273151
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012013 Issued in NC
Practice address
9003 Weston Pkwy
Cary, NC 27513-2201
Phone
(919) 677-1400
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 P012013 NC Primary

Addresses

Primary practice location

9003 Weston Pkwy
Cary, NC 27513-2201

Mailing address

9003 Weston Pkwy
Cary, NC 27513-2201
Phone (919) 677-1400

Other practice location 1

128 King St
Apt 3
Northampton, MA 01060-3576
Phone (910) 709-5437

Other identifiers 1

IdentifierTypeStateIssuer
1194273151MedicaidMA

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
P012013NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lucy Daniels Center Clinical PastSince Jul 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194273151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 WESTON PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132201",
            "telephone_number": "919-677-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 WESTON PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132201",
            "telephone_number": "919-677-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 King St",
            "address_2": "APT 3",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010603576",
            "country_code": "US",
            "telephone_number": "910-709-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "STEPHANIE",
        "middle_name": "MARGARETE",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194273151",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.