Active NPI
Stephanie Rose McKinney, LCSW
- Clinical Social Worker
- Hauppauge, NY
National Provider Identifier
1255646733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081328
- Practice address
- 496 Smithtown Bypass
Suite 202
Hauppauge, NY 11788 - Phone
- (631) 774-0913
- NPI assigned
- Aug 9, 2010
- Last updated
- Jun 11, 2018
- 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 | 081328 | NY | Primary |
Addresses
Primary practice location
496 Smithtown Bypass
Suite 202
Hauppauge, NY 11788
Mailing address
28 Ridge CT
Hauppauge, NY 11788-4749
Phone (631) 774-0913
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081328 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SWM LCSW Practice | Clinical | Current | Accepting new patients |
| Transitions Counseling Services LCSW PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Hauppauge, NY
- NPI 1720887540
-
- Clinical Social Worker
- Smithtown, NY
- NPI 1417635582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1255646733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 RIDGE CT",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884749",
"telephone_number": "631-774-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 SMITHTOWN BYPASS",
"address_2": "SUITE 202",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "11788",
"telephone_number": "631-774-0913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "STEPHANIE",
"middle_name": "ROSE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.