Active NPI
Sheila Ann Stephenson, LCSW
- Clinical Social Worker
- Portales, NM
National Provider Identifier
1518130467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-07223
- Practice address
- 226 W 2ND St
Portales, NM 88130-6232 - Phone
- (575) 714-3410
- NPI assigned
- Apr 10, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | C-07223 | NM | |
| Clinical Social Worker | 1041C0700X | C-07223 | NM | Primary |
| Professional Counselor | 101YP2500X | C-07223 | NM | |
| Social Worker | 104100000X | C-07223 | NM | |
| School Psychologist | 103TS0200X | NM |
Addresses
Primary practice location
226 W 2ND St
Portales, NM 88130-6232
Mailing address
518 E 18TH St
Portales, NM 88130-9268
Phone (575) 714-3410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71658289 | Medicaid | NM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-07223 | NM | MD | School Social Worker |
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.
-
- Professional Counselor
- Portales, NM
- NPI 1447640164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1518130467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 E 18TH ST",
"city": "PORTALES",
"state": "NM",
"postal_code": "881309268",
"telephone_number": "575-714-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 W 2ND ST",
"city": "PORTALES",
"state": "NM",
"postal_code": "881306232",
"telephone_number": "575-714-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "SHEILA",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "C-07223",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-07223",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "C-07223",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "C-07223",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71658289",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.