Active NPI
Alice A. Stephens, L.C.S.W.
- Clinical Social Worker
- Palatka, FL
National Provider Identifier
1285600551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW4388
- Practice address
- 330 Kay Larkin Dr
Palatka, FL 32177-2307 - Phone
- (386) 329-3780
- Fax
- (386) 329-3786
- NPI assigned
- Feb 27, 2006
- Last updated
- Jun 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SW4388 | FL | |
| Clinical Social Worker | 1041C0700X | SW4388 | FL | Primary |
Addresses
Primary practice location
330 Kay Larkin Dr
Palatka, FL 32177-2307
Mailing address
330 Kay Larkin Dr
Palatka, FL 32177-2307
Phone (386) 329-3780
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 762259700 | Other | FL | MEDICAID COMP. ASSESS. |
| 189743 | Other | FL | WELLCARE |
| 765587800 | Other | FL | MEDICAID CASE MGMT. |
| Z028J | Other | FL | BC/BS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1285600551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 KAY LARKIN DR",
"city": "PALATKA",
"state": "FL",
"postal_code": "321772307",
"telephone_number": "386-329-3780",
"fax_number": "386-329-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 KAY LARKIN DR",
"city": "PALATKA",
"state": "FL",
"postal_code": "321772307",
"telephone_number": "386-329-3780",
"fax_number": "386-329-3786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "ALICE",
"middle_name": "A.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "SW4388",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW4388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID COMP. ASSESS.",
"identifier": "762259700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "189743",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CASE MGMT.",
"identifier": "765587800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "Z028J",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.