Individual provider Active NPI

Gayane Stepanyan

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1326415118
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
900 Fulton Ave Ste 205
Sacramento, CA 95825-4517
Phone
(916) 484-3570
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

900 Fulton Ave Ste 205
Sacramento, CA 95825-4517

Mailing address

900 Fulton Ave Ste 205
Sacramento, CA 95825-4517
Phone (916) 484-3570

Other practice location 1

630 Bercut Dr Ste C
Sacramento, CA 95811-0110
Phone (916) 417-7418

Other practice location 2

8912 Volunteer Ln
Sacramento, CA 95826-3221
Phone (916) 344-0199

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

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1326415118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 FULTON AVE STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254517",
            "telephone_number": "916-484-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FULTON AVE STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254517",
            "telephone_number": "916-484-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Bercut Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958110110",
            "country_code": "US",
            "telephone_number": "916-417-7418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8912 Volunteer Ln",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958263221",
            "country_code": "US",
            "telephone_number": "916-344-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPANYAN",
        "first_name": "GAYANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.