Individual provider Active NPI

Stephanie Dawn Cole-Conway, MSW

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1528106069
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801087159 Issued in MI
Practice address
3030 S 9TH St Ste 3G
Kalamazoo, MI 49009-9456
Phone
(269) 220-5600
Fax
(269) 220-5600
NPI assigned
Feb 4, 2007
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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 6801087159 MI Primary

Addresses

Primary practice location

3030 S 9TH St Ste 3G
Kalamazoo, MI 49009-9456

Mailing address

611 Forest St
Kalamazoo, MI 49008-1309
Phone (269) 388-4819

Other names 1

  • Stephanie Dawn Cole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000435 MI Practitioner - Clinical Social Worker 0446348460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solutions for Life PLLCGroup PAC ID 6608139191, 2 clinicians

Practice addresses (Care Compare)

3030 S 9TH St
Suite 3F
Kalamazoo, MI 49009-9456
Phone (269) 220-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dorman and Associates PLC Past Accepting new patients

Organizations & group practices 2

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1528106069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 FOREST ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081309",
            "telephone_number": "269-388-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S 9TH ST STE 3G",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099456",
            "telephone_number": "269-220-5600",
            "fax_number": "269-220-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE-CONWAY",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801087159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "COLE",
            "middle_name": "DAWN",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.