Active NPI
Jennifer Stebbins, LCSW
- Clinical Social Worker
- Poughkeepsie, NY
National Provider Identifier
1215368238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 074055
- Practice address
- 1 Webster Ave Ste 400
Poughkeepsie, NY 12601-1363 - Phone
- (845) 483-5150
- Fax
- (845) 485-4964
- NPI assigned
- Dec 2, 2013
- 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 | 074055 | NY | Primary |
Addresses
Primary practice location
1 Webster Ave Ste 400
Poughkeepsie, NY 12601-1363
Mailing address
PO Box 137
Garrison, NY 10524-0137
Phone (845) 596-7574
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 |
|---|---|---|---|
| 074055 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1215368238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 137",
"city": "GARRISON",
"state": "NY",
"postal_code": "105240137",
"telephone_number": "845-596-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WEBSTER AVE STE 400",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011363",
"telephone_number": "845-483-5150",
"fax_number": "845-485-4964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEBBINS",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "074055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.