Stephenie Pender Nunn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60916 Issued in TX

Practice address

3012 SW 26TH Ave Ste 200
Amarillo, TX 79109-3161

Phone

(806) 567-8378

NPI assigned

Mar 18, 2018

Last updated

Jan 31, 2019By the provider in NPPES

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 names 1

• Stephenie Pender Black Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1396248118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 SW 26TH AVE STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093161",
            "telephone_number": "806-567-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 SW 26TH AVE STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093161",
            "telephone_number": "806-567-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNN",
        "first_name": "STEPHENIE",
        "middle_name": "PENDER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHENIE",
            "last_name": "BLACK",
            "middle_name": "PENDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Number One Care PA
• Kevin Dwayne Nunemaker
• Niema Nunez
• Nunn Better Therapy, PLLC
• Howard S Nunn Jr., MD
• Virginia Nunn, OTR
• Nursecore Management Services, LLC (Nursecore of Amarillo)
• Nurses Unlimited Inc
• Judy Martine Nusz, LPC
• NWTX Physician Network, PLLC

• Clinical Social Worker in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.