Stephanie Dorsey Licensed Clinical Social Worker PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STEPHANIE DORSEY LICENSED CLINICAL SOCIAL WORKER PC

Practice address

111 Main St Unit 37
San Andreas, CA 95249-9332

Phone

(209) 297-1911

NPI assigned

Jun 5, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Dorsey, LCSWNPI 1629464532

Title

Owner

Phone

(209) 297-1911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Dorsey, LCSW

  • Clinical Social Worker
  • San Andreas, CA
  • NPI 1629464532
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1366336117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1113",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952491113",
            "telephone_number": "209-297-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN ST UNIT 37",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499332",
            "telephone_number": "209-297-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE DORSEY LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-297-1911",
        "authorized_official_name_prefix": "Ms.",
        "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": []
}

• Wendy Lynne Smith, PHD
• Tiffany Souza, B.A.
• Stacy Elias Doula
• Sarah Mae Staudy
• Leandra Steenkamp
• Athena Villasenor Taylan, MD
• Anne Marie Taylor
• Thanh Pham DDS Dental Corporation (San Andreas Family Dental)
• Christa Thompson, LCSW
• Danny William Thompson

• Clinical Social Worker in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.