Joanne Kowalczyk Stevens, M. A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0031721 Issued in NY

Practice address

725 Harrison St
Syracuse, NY 13210-2395

Phone

(315) 435-4202

NPI assigned

Sep 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Syracuse City School District

  • Local Education Agency (LEA)
  • Syracuse, NY
  • NPI 1285914192
  NPD (past)
• Syracuse City School District

  • Local Education Agency (LEA)
  • Syracuse, NY
  • NPI 1689731853
  NPD (past)

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1376824532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 CLEVELAND RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152417",
            "telephone_number": "315-469-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HARRISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102395",
            "telephone_number": "315-435-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JOANNE",
        "middle_name": "KOWALCZYK",
        "name_prefix": "Mrs.",
        "credential": "M. A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0031721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Peters Stevens, RPH
• Brooke Stevens, PA-C
• Caroline Ashley Stevens
• Christina M Stevens
• Emily Ann Stevens, M.S. CCC-SLP/A
• Keri Jane Stevens, NP
• Kimberly Sue Stevens, LPN
• Lauren Stevens, PA
• Lindsay Marie Stevens
• Mackenzie Stevens, LMSW

• Speech-Language Pathologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.