Sophia Stevenson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17464 Issued in LA

Practice address

728 Nashville Ave
New Orleans, LA 70115-3227

Phone

(504) 605-4095

NPI assigned

Sep 13, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Imagine Recovery New Orleans, LLC

  • Substance Abuse Rehabilitation Facility
  • New Orleans, LA
  • NPI 1497235840
  NPD (past)

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1316724206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 3RD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 NASHVILLE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153227",
            "telephone_number": "504-605-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "17464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Will G. Stevens, CRNA
• Craig Anthony Stevenson
• Jamesha Coriyan Stevenson
• Joey Justin Stevenson, MA, MSW
• Kimberly Matreace Stevenson, CRNA
• Xylona Stevenson
• Alise Steward, D.D.S.
• Wayne Steward Jr.
• Amanda D Stewart, PA
• Audrey Stewart, CPM

• Clinical Social Worker in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.