Active NPI
Stephanie J Cotto, MSW
- Clinical Social Worker
- Cidra, PR
National Provider Identifier
1396341681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15227
- Practice address
- Ave El Jibaro Carr 172 KM 13.25 Int
Bo Bayamon
Cidra, PR 00739 - Phone
- (787) 308-2641
- Fax
- (787) 714-1444
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15227 | PR | Primary |
Addresses
Primary practice location
Ave El Jibaro Carr 172 KM 13.25 Int
Bo Bayamon
Cidra, PR 00739
Mailing address
Ave El Jibario Carr 172 KM 13.25 Int
Bo Bayamon
Cidra, PR 00739
Phone (787) 739-8182
Other practice location 1
PO Box 818
Juncos, PR 00777-0818
Phone (787) 308-2641
Other practice location 2
Urb El Encanto
Calle Lirios H18
Juncos, PR 00777-0818
Phone (787) 308-2641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6143689 | Other | PR | DEIVER LICENSE |
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 |
|---|---|---|---|
| 15227 | PR | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1396341681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE EL JIBARIO CARR 172 KM 13.25 INT",
"address_2": "BO BAYAMON",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-739-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE EL JIBARO CARR 172 KM 13.25 INT",
"address_2": "BO BAYAMON",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-308-2641",
"fax_number": "787-714-1444"
}
],
"practiceLocations": [
{
"address_1": "PO Box 818",
"address_purpose": "LOCATION",
"city": "Juncos",
"state": "PR",
"postal_code": "007770818",
"country_code": "US",
"telephone_number": "787-308-2641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "URB EL ENCANTO",
"address_2": "CALLE LIRIOS H18",
"address_purpose": "LOCATION",
"city": "Juncos",
"state": "PR",
"postal_code": "007770818",
"country_code": "US",
"telephone_number": "787-308-2641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COTTO",
"first_name": "STEPHANIE",
"middle_name": "J",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "15227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEIVER LICENSE",
"identifier": "6143689",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.