Individual provider Active NPI

Stephany Lynne Cutler, LCSW

  • Clinical Social Worker
  • Brevard, NC
National Provider Identifier
1366839375
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012437 Issued in NC
Practice address
26 E Main St Ste 4&5
Brevard, NC 28712-3744
Phone
(828) 423-0644
Fax
(828) 544-1201
NPI assigned
Apr 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C012437 NC Primary

Addresses

Primary practice location

26 E Main St Ste 4&5
Brevard, NC 28712-3744

Mailing address

26 E Main St Ste 4&5
Brevard, NC 28712-3744
Phone (828) 423-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191204003131 NC Practitioner - Clinical Social Worker 5092015875 Practice locations: Brevard, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26 E Main St
Suite 4And5
Brevard, NC 28712-3744
Phone (828) 423-0644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1366839375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E MAIN ST STE 4&5",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123744",
            "telephone_number": "828-423-0644",
            "fax_number": "828-544-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E MAIN ST STE 4&5",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123744",
            "telephone_number": "828-423-0644",
            "fax_number": "828-544-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTLER",
        "first_name": "STEPHANY",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

Verify at the official NPI Registry.