Terry Lee Coryell Stotler, MSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00942520 Issued in WV

Practice address

6719 Doolittle Dr
Edwards, CA 93523-2105

Phone

(661) 272-2183

Fax

(661) 275-4099

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306904875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 DOOLITTLE DR",
            "city": "EDWARDS",
            "state": "CA",
            "postal_code": "935232105",
            "telephone_number": "661-272-2183",
            "fax_number": "661-275-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 DOOLITTLE DR",
            "city": "EDWARDS",
            "state": "CA",
            "postal_code": "935232105",
            "telephone_number": "661-272-2183",
            "fax_number": "661-275-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTLER",
        "first_name": "TERRY",
        "middle_name": "LEE CORYELL",
        "name_prefix": "Mr.",
        "credential": "MSW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00942520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Puente, IDMT
• Carolina Ramirez, M.S., CCC-SLP
• Harry Mark Richter, DDS MAGD
• Tamara Hopper Shoulders, PT
• Ahjonae Oriana Simpson, DOULA, CMT
• Autumn Dawn Walker, MD

• Clinical Social Worker in Edwards, CA
• Providers in Edwards, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.