Individual provider Active NPI

Mary Laird Stemkowski, MSW, LCSWA

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1306408323
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013210 Issued in NC
Practice address
330 S York St
Gastonia, NC 28052-4052
Phone
(704) 864-6573
NPI assigned
Jun 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X P013210 NC Primary

Addresses

Primary practice location

330 S York St
Gastonia, NC 28052-4052

Mailing address

5135 Lansing Dr
Charlotte, NC 28270-6029
Phone (704) 770-8966

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

LicenseStateTypeSpecialty
P013210NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Family Services of North Carolina LLC Clinical 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": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1306408323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 LANSING DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282706029",
            "telephone_number": "704-770-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S YORK ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524052",
            "telephone_number": "704-864-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMKOWSKI",
        "first_name": "MARY",
        "middle_name": "LAIRD",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-29",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.