Individual provider Active NPI

Katrina Jordan Stoner, LMSWC

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1487935532
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801102810 Issued in MI
Practice address
1024 N 4TH St
Marquette, MI 49855-3401
Phone
(906) 376-4120
NPI assigned
Sep 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 19423 MD
Clinical Social Worker 1041C0700X 19423 MD
Clinical Social Worker 1041C0700X 6801102810 MI Primary

Addresses

Primary practice location

1024 N 4TH St
Marquette, MI 49855-3401

Mailing address

1024 N 4TH St
Marquette, MI 49855-3401
Phone (906) 376-4120

Other practice location 1

200 W Spring St
Marquette, MI 49855
Phone (906) 225-7210

Other identifiers 6

IdentifierTypeStateIssuer
609550001MedicaidMD
R968OtherMDCAREFIRST BCBS
346646OtherMDMHN/TRICARE
7840093OtherMDAETNA
259147-000OtherMDMAGELLAN BEHAVIORAL HEALTH
517251OtherMDOPTUM/UBH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19423MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Katrina Stoner LMSW LLC Clinical Current Accepting new patients

Locations

220 W Washington St
Ste 405
Marquette, MI 49855
Phone (906) 362-1647

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.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1487935532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N 4TH ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553401",
            "telephone_number": "906-376-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N 4TH ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553401",
            "telephone_number": "906-376-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "49855",
            "country_code": "US",
            "telephone_number": "906-225-7210",
            "fax_number": "906-225-7204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONER",
        "first_name": "KATRINA",
        "middle_name": "JORDAN",
        "credential": "LMSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19423",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19423",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "R968",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN/TRICARE",
            "identifier": "346646",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7840093",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH",
            "identifier": "259147-000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM/UBH",
            "identifier": "517251",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.