Active NPI
Stephanie Louise Wheeler, MSW, LCSW, LCADC
- Clinical Social Worker
- Fort Lee, VA
National Provider Identifier
1396116059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05230900
- Practice address
- 700 24TH St
Fort Lee, VA 23801-1716 - Phone
- (804) 734-9227
- Fax
- (804) 734-9188
- NPI assigned
- Oct 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00098100 | NJ | |
| School Counselor | 101YS0200X | 00354479 | NJ | |
| School Social Worker | 1041S0200X | 00358481 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05230900 | NJ | Primary |
Addresses
Primary practice location
700 24TH St
Fort Lee, VA 23801-1716
Mailing address
700 24TH St
Fort Lee, VA 23801-1716
Phone (804) 734-9227
Other names 1
- Stephanie Louise Nauta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00098100 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 00354479 | NJ | MD | School Counselor |
| 44SC05230900 | NJ | MD | Clinical Social Worker |
| 00358481 | NJ | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685750400000",
"number": "1396116059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 24TH ST",
"city": "FORT LEE",
"state": "VA",
"postal_code": "238011716",
"telephone_number": "804-734-9227",
"fax_number": "804-734-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 24TH ST",
"city": "FORT LEE",
"state": "VA",
"postal_code": "238011716",
"telephone_number": "804-734-9227",
"fax_number": "804-734-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "STEPHANIE",
"middle_name": "LOUISE",
"credential": "MSW, LCSW, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2023-06-03",
"certification_date": "2023-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00098100",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NJ",
"license": "00354479",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NJ",
"license": "00358481",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05230900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "NAUTA",
"middle_name": "LOUISE",
"credential": "MSW, LCSW, LCADC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Lee, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.