Individual provider Active NPI

Kristen Hoffman Stephens, L.C.S.W, PIP

  • Clinical Social Worker
  • Fairhope, AL
National Provider Identifier
1407118235
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2341C Issued in AL
Practice address
750 Morphy Ave
Fairhope, AL 36532-1812
Phone
(251) 279-1119
Fax
(251) 279-1117
NPI assigned
Jun 7, 2012
Last updated
Jun 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2341C AL Primary

Addresses

Primary practice location

750 Morphy Ave
Fairhope, AL 36532-1812

Mailing address

PO Box 929
Fairhope, AL 36533-0929
Phone (251) 279-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180622000315 AL Practitioner - Clinical Social Worker 6800141466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Health Hospitals IncGroup PAC ID 3375448491, 20 clinicians

Practice addresses (Care Compare)

1290 Main St
Suite C
Daphne, AL 36526-8624
Phone (251) 291-7233

750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 279-1119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2341CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Health Hospitals, Inc. Current Accepting new patients
Gulf Health Hospitals, Inc CurrentSince May 1, 2018 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince May 1, 2018 Accepting new patients
A Safe Place, Individual Psychotherapy LLC CurrentSince Aug 11, 2025 Accepting new patients

Locations

1290 Main St
Ste C
Daphne, AL 36526
Phone (251) 202-7005

212 W Troy St
Ste B
Dothan, AL 36303
Phone (240) 206-9485

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1407118235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365330929",
            "telephone_number": "251-279-1119",
            "fax_number": "251-279-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321812",
            "telephone_number": "251-279-1119",
            "fax_number": "251-279-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "KRISTEN",
        "middle_name": "HOFFMAN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W, PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2341C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.