Individual provider Active NPI

Stephanie Doyle, LCSW

  • Clinical Social Worker
  • Pleasantville, NY
National Provider Identifier
1316223001
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079198 Issued in NY
Practice address
343 Manville Rd Ste 6U
Pleasantville, NY 10570-2154
Phone
(914) 815-3395
Fax
(914) 922-9212
NPI assigned
Oct 26, 2011
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 079198 NY Primary

Addresses

Primary practice location

343 Manville Rd Ste 6U
Pleasantville, NY 10570-2154

Mailing address

343 Manville Rd Ste 6U
Pleasantville, NY 10570-2154
Phone (914) 815-3539

Other practice location 1

16 S Bedford Rd
Suite 2E
Chappaqua, NY 10514-3464
Phone (914) 358-1672

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
079198NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1316223001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 MANVILLE RD STE 6U",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702154",
            "telephone_number": "914-815-3539",
            "fax_number": "914-922-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 MANVILLE RD STE 6U",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702154",
            "telephone_number": "914-815-3395",
            "fax_number": "914-922-9212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 S Bedford Rd",
            "address_2": "Suite 2E",
            "address_purpose": "LOCATION",
            "city": "Chappaqua",
            "state": "NY",
            "postal_code": "105143464",
            "country_code": "US",
            "telephone_number": "914-358-1672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.