Active NPI
Stefanie Werner
- School Social Worker
- Nesconset, NY
National Provider Identifier
1295422244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 082026-1
- Practice address
- 301 Smithtown Blvd
Nesconset, NY 11767-2080 - Phone
- (631) 588-0530
- NPI assigned
- Apr 20, 2023
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 082026-1 | NY | Primary |
Addresses
Primary practice location
301 Smithtown Blvd
Nesconset, NY 11767-2080
Mailing address
35 Mayflower LN
East Setauket, NY 11733-3303
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 |
|---|---|---|---|
| 082026-1 | NY | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleary Deaf Child Center, Inc. | 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.
-
dba Cleary School for the Deaf
- Local Education Agency (LEA)
- Nesconset, NY
- NPI 1801944665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1295422244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MAYFLOWER LN",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SMITHTOWN BLVD",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117672080",
"telephone_number": "631-588-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "STEFANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "082026-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nesconset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.