Individual provider Active NPI

Stefanie Vonohlen, L.C.S.W.

  • Clinical Social Worker
  • Young Harris, GA
National Provider Identifier
1376707695
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7268 Issued in FL
Practice address
757 Mining Gap Conn
Young Harris, GA 30582-2327
Phone
(716) 598-7473
NPI assigned
Jul 16, 2008
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 SW7268 FL Primary

Addresses

Primary practice location

757 Mining Gap Conn
Young Harris, GA 30582-2327

Mailing address

757 Mining Gap Conn
Young Harris, GA 30582-2327
Phone (716) 598-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240917000047 GA Practitioner - Clinical Social Worker 8921354705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Young Harris, GA 30582
Phone (719) 598-7473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lee McMorrow, LLC PastSince Apr 8, 2018 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1376707695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 MINING GAP CONN",
            "city": "YOUNG HARRIS",
            "state": "GA",
            "postal_code": "305822327",
            "telephone_number": "716-598-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 MINING GAP CONN",
            "city": "YOUNG HARRIS",
            "state": "GA",
            "postal_code": "305822327",
            "telephone_number": "716-598-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONOHLEN",
        "first_name": "STEFANIE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Young Harris, GA

Sources for this page

Verify at the official NPI Registry.