Organization Active NPI

Stepahnie White

  • Clinical Social Worker
  • Manchester, CT
National Provider Identifier
1366097149
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STEPAHNIE WHITE
Practice address
185 Adams St
Manchester, CT 06042-1919
Phone
(860) 502-7225
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Stephanie White, LCSW
Title
Owner
Phone
(860) 502-7225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

185 Adams St
Manchester, CT 06042-1919

Mailing address

126 Helaine Rd
Manchester, CT 06042-3354
Phone (860) 502-7225

National Provider Directory

National Provider Directory

Locations

185 Adams St
Manchester, CT 06042
Phone (860) 502-7225

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1366097149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HELAINE RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423354",
            "telephone_number": "860-502-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ADAMS ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421919",
            "telephone_number": "860-502-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPAHNIE WHITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-502-7225",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.