Individual provider Active NPI

Valerie H Stefanof, MA LLP

  • Social Worker
  • South Lyon, MI
National Provider Identifier
1457541914
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802060120 Issued in MI
Practice address
5641 6 Mile Rd
South Lyon, MI 48178-9641
Phone
(248) 437-7272
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 6301010764 MI
Social Worker 104100000X 6802060120 MI Primary

Addresses

Primary practice location

5641 6 Mile Rd
South Lyon, MI 48178-9641

Mailing address

5641 6 Mile Rd
South Lyon, MI 48178-9641
Phone (248) 437-7272

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301010764MIMDIntellectual & Developmental Disabilities Psychologist
6802060120MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1457541914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 6 MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789641",
            "telephone_number": "248-437-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 6 MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789641",
            "telephone_number": "248-437-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANOF",
        "first_name": "VALERIE",
        "middle_name": "H",
        "credential": "MA LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MI",
            "license": "6301010764",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802060120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.