Active NPI
Stephanie Margarete Koenig, LCSW-A
- Clinical Social Worker
- Cary, NC
National Provider Identifier
1194273151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P012013
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194273151 | Medicaid | MA |
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 |
|---|---|---|---|
| P012013 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucy Daniels Center | Clinical | 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.
-
- Clinical Social Worker
- Cary, NC
- NPI 1598693665
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.