Individual provider Active NPI

Stefanie Myers, MSW, LGSW

  • Clinical Social Worker
  • Terre Haute, IN
National Provider Identifier
1386267987
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010367A Issued in IN
Practice address
1801 N 6TH St
Terre Haute, IN 47804-4086
Phone
(812) 238-7384
Fax
(812) 238-7002
NPI assigned
May 19, 2020
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34010367A IN Primary
Social Worker 104100000X SW042015487 WV

Addresses

Primary practice location

1801 N 6TH St
Terre Haute, IN 47804-4086

Mailing address

1801 N 6TH St
Terre Haute, IN 47804-4086
Phone (812) 238-7384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240710004847 IN Practitioner - Clinical Social Worker 7113398132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital IncGroup PAC ID 8426943614, 90 clinicians

Practice addresses (Care Compare)

1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7384

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW042015487WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. Social Worker CurrentSince Jul 8, 2024 Accepting new patients
Union Hospital, Inc. CurrentSince Jul 8, 2024 Accepting new patients
Union Hospital Inc Past Accepting new patients

Locations

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1801 N 6th St
Terre Haute, IN 47804
Phone (812) 232-1123

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1386267987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044086",
            "telephone_number": "812-238-7384",
            "fax_number": "812-238-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044086",
            "telephone_number": "812-238-7384",
            "fax_number": "812-238-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "STEFANIE",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010367A",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "SW042015487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.