Active NPI
Stephanie Rochelle Tolentino, CSWA
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1306202825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A4186
- Practice address
- 195 W 12TH Ave
Eugene, OR 97401-3408 - Phone
- (541) 762-4300
- NPI assigned
- Jan 13, 2016
- 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 | A4186 | OR | Primary |
Addresses
Primary practice location
195 W 12TH Ave
Eugene, OR 97401-3408
Mailing address
972 W 4TH Ave
Eugene, OR 97402-4931
Phone (469) 583-6668
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 |
|---|---|---|---|
| A4186 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- stephanietolentino@tdh.allscriptsdirect.net
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": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1306202825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "972 W 4TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974024931",
"telephone_number": "469-583-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 W 12TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013408",
"telephone_number": "541-762-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLENTINO",
"first_name": "STEPHANIE",
"middle_name": "ROCHELLE",
"credential": "CSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A4186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.