Active NPI
Stephen Joseph Stott, LICSWA
- Case Manager/Care Coordinator
- Grandview, WA
National Provider Identifier
1417429937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- SC60920932
- Practice address
- 240 Division St
Grandview, WA 98930-1357 - Phone
- (509) 882-4260
- NPI assigned
- Dec 21, 2018
- Last updated
- Feb 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SC60920932 | WA | |
| School Social Worker | 1041S0200X | 60920932 | WA | |
| Case Manager/Care Coordinator | 171M00000X | SC60920932 | WA | Primary |
Addresses
Primary practice location
240 Division St
Grandview, WA 98930-1357
Mailing address
240 Division St
Grandview, WA 98930-1357
Phone (509) 882-4260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60920932 | Medicaid | WA |
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 |
|---|---|---|---|
| SC60920932 | WA | MD | Social Worker |
| 60920932 | WA | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crisis Connections | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1336604594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1417429937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 DIVISION ST",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989301357",
"telephone_number": "509-882-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 DIVISION ST",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989301357",
"telephone_number": "509-882-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTT",
"first_name": "STEPHEN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LICSWA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-21",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC60920932",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "WA",
"license": "60920932",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WA",
"license": "SC60920932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60920932",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grandview, WA
- Ivan Soto-Martinez, DC
- Katherine Dolores Soto, SW LIC
- Dana Spearin
- Nealeen Stanton, RN
- Stephanie Gibbons NP PLLC
- Sunnyside Community Hospital Association (Astria Health Center)
- Sunnyside Community Hospital Association (Astria Health Center)
- Laura Sutherland, RD, CD, MS
- Amanda Tobin, RN
- Elisa Becho Tovar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.