Christopher L Stamm, MBA,MSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005064A Issued in IN

Practice address

501 N Howard St
Union City, IN 47390-1118

Phone

(765) 546-9143

Fax

(765) 964-4300

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Green House and Associates Inc

  • Psychologist
  • McCordsville, IN
  • NPI 1558316463

  Clinical

  NPD (past)
• Winds of Change Counseling and Consulting Service Inc.

  • Mental Health Counselor
  • Winchester, IN
  • NPI 1447237771
  NPD (past)
• Samaritan Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1235490939
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1376657015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "UNION CITY",
            "state": "IN",
            "postal_code": "473900443",
            "telephone_number": "765-584-7409",
            "fax_number": "765-584-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N HOWARD ST",
            "city": "UNION CITY",
            "state": "IN",
            "postal_code": "473901118",
            "telephone_number": "765-546-9143",
            "fax_number": "765-964-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMM",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "credential": "MBA,MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005064A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenzo D Somma, MD
• St Vincent Randolph Hospital
• St. Vincent Medical Group, Inc.
• St. Vincent Physician Network, LLC
• St. Vincent Physician Network, LLC
• Shaunessy Michelle Stamm, LSW
• Jeremiah Strunc
• Dorothy S Tyo, MAT, LAT, ATC
• Walgreen Co

• Clinical Social Worker in Union City, IN
• Providers in Union City, 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 Apr 16, 2012; 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.