Individual provider Active NPI

Stephanie Taylor Padgham, LMSW

  • Social Worker
  • Rochester, NY
National Provider Identifier
1447983002
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0896231 Issued in NY
Practice address
2450 W Ridge Rd Ste 303
Rochester, NY 14626-3037
Phone
(585) 448-0936
NPI assigned
Jul 1, 2022
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0896231 NY Primary

Addresses

Primary practice location

2450 W Ridge Rd Ste 303
Rochester, NY 14626-3037

Mailing address

2450 W Ridge Rd Ste 307
Rochester, NY 14626-3037
Phone (585) 225-6800

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
0896231NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Newby, Psy.D., PLLC CurrentSince Jul 17, 2022 Accepting new patients

Locations

2450 W Ridge Rd
Ste 303
Rochester, NY 14626
Phone (585) 448-0936

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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1447983002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W RIDGE RD STE 307",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263037",
            "telephone_number": "585-225-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W RIDGE RD STE 303",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263037",
            "telephone_number": "585-448-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGHAM",
        "first_name": "STEPHANIE",
        "middle_name": "TAYLOR",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0896231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.