Individual provider Active NPI

Stephanie Renae Gerlek, LCSW

  • Clinical Social Worker
  • Mountain Grove, MO
National Provider Identifier
1285910869
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2008030743 Issued in MO
Practice address
500 E 19TH St
Mountain Grove, MO 65711-1114
Phone
(417) 926-6563
Fax
(417) 926-0911
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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 2008030743 MO Primary

Addresses

Primary practice location

500 E 19TH St
Mountain Grove, MO 65711-1114

Mailing address

500 E. 19TH Street
Mountain Grove, MO 65711
Phone (417) 926-6563

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center 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.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1285910869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E. 19TH STREET",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "65711",
            "telephone_number": "417-926-6563",
            "fax_number": "417-926-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 19TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111114",
            "telephone_number": "417-926-6563",
            "fax_number": "417-926-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLEK",
        "first_name": "STEPHANIE",
        "middle_name": "RENAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2008030743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.