Individual provider Active NPI

Stephanie Columbia, LCSW-R, BCBA

  • Clinical Social Worker
  • Bellport, NY
National Provider Identifier
1437427192
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075920 Issued in NY
Practice address
112 S Country Rd Ste 209
Bellport, NY 11713-2534
Phone
(516) 526-1814
NPI assigned
Dec 9, 2011
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075920 NY Primary
Behavior Analyst 103K00000X 1-11-8597 NY

Addresses

Primary practice location

112 S Country Rd Ste 209
Bellport, NY 11713-2534

Mailing address

112 S Country Rd Ste 209
Bellport, NY 11713-2534
Phone (516) 526-1814

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

LicenseStateTypeSpecialty
075920NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Columbia LCSW PC Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1437427192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S COUNTRY RD STE 209",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132534",
            "telephone_number": "516-526-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S COUNTRY RD STE 209",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132534",
            "telephone_number": "516-526-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUMBIA",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075920",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-11-8597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.