Active NPI
Christine Stoeberman, LSW
- Social Worker
- Ravenna, OH
National Provider Identifier
1447745591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0030448
- Practice address
- 6695 N Chestnut St
Ravenna, OH 44266-3905 - Phone
- (330) 296-3214
- NPI assigned
- Jun 29, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0030448 | OH | Primary |
Addresses
Primary practice location
6695 N Chestnut St
Ravenna, OH 44266-3905
Mailing address
6695 N Chestnut St
Ravenna, OH 44266-3905
Phone (330) 296-3214
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 |
|---|---|---|---|
| 0030448 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Rehab and Wellness Center LLC | 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 and National Provider Directory roles.
-
- Physical Therapist
- Youngstown, OH
- NPI 1932152931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1447745591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6695 N CHESTNUT ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663905",
"telephone_number": "330-296-3214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6695 N CHESTNUT ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663905",
"telephone_number": "330-296-3214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOEBERMAN",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-29",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "0030448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.