Phyllis D Stutzman, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000681A Issued in IN

Practice address

307 S 5TH St
Goshen, IN 46528-3715

Phone

(574) 534-9099

Fax

(574) 534-5530

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Phyllis D Stutzman Professional name

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336296276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 5TH ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465283715",
            "telephone_number": "574-534-9099",
            "fax_number": "574-534-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 5TH ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465283715",
            "telephone_number": "574-534-9099",
            "fax_number": "574-534-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "PHYLLIS",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000681A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "STUTZMAN",
            "middle_name": "D",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly Sue Stuckey Schrock, M.D.
• Teneesa Stuckey, WHNP
• Stacia Stults
• Chad G. Stutsman, DDS
• Gene A. Stutsman, DDS
• Michelle Suen, RN, MSN, PMHNP
• Mayra Suter, LCSW
• Sharese A. Swafford, LMHC, LCAC
• Raymond Elmer Swanson, MD
• Scott Swanson, M.D.

• Clinical Social Worker in Goshen, IN
• Providers in Goshen, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.