Christopher Stoudemire, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0001167 Issued in DE

Practice address

1902A Maryland Avenue
Wilmington, DE 19805-4605

Phone

(302) 655-7108

Fax

(302) 655-0689

NPI assigned

Feb 26, 2010

Last updated

Sep 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in DE, WI, PA3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wilmington Psychiatric Services LLC

  • Community/Behavioral Health Agency
  • Wilmington, DE
  • NPI 1336334267
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, PA, WI

  Medicare reassignment NPD
• Thompson Counseling & Consulting Inc

  • Clinical Social Worker
  • New Castle, DE
  • NPI 1215052402
  NPD (past)

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1376865618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902A MARYLAND AVENUE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-655-7108",
            "fax_number": "302-655-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902A MARYLAND AVENUE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-655-7108",
            "fax_number": "302-655-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDEMIRE",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Storm, MA, RD-AP, LDN, CNSC
• Story Line Therapy& Coaching Solutions
• Anna M Story, D.C.
• Megan Stott, PT, DPT
• Lisa Vanderbeek Stottlemyer, OD
• Waylon Dean Stouffer
• Lauren A Stracuzzi
• Abigail Rea Strang
• April Michell Strange, MSN, APRN, PMHNP-BC
• Mikaela Paige Strange, RD

• Clinical Social Worker in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.