Stephanie Lynn Spoolstra, L.C.S.W., M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1700 N Illinois St
Room 331
Indianapolis, IN 46202-1316

Phone

(317) 931-5110

Fax

(317) 931-5113

NPI assigned

Sep 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Stephanie Lynn Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1467685891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N ILLINOIS ST",
            "address_2": "ROOM 331",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021316",
            "telephone_number": "317-931-5110",
            "fax_number": "317-931-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ILLINOIS ST",
            "address_2": "ROOM 331",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021316",
            "telephone_number": "317-931-5110",
            "fax_number": "317-931-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOOLSTRA",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "L.C.S.W., M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ANDERSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Margaret Spolyar, M.D.
• Michele M Spolyar, MD
• Thomas Michael Spolyar, M.D.
• Kevin Joseph Sponsel, PHARMD, BCPS
• Sara Spoolstra, NP
• Katherine Grace Spoonamore, M.S.
• Jennifer Marie Spors, NP
• Michael Spors
• Sports Medicine Institute of Indiana, PC
• Spot on Home Care LLC

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.