Stephanie Denise Vandall, LISW-S, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I1000202 Issued in OH

Practice address

750 E Long St
Columbus, OH 43203-1846

Phone

(614) 340-6700

NPI assigned

Oct 7, 2008

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 Denise Kosto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1548411754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SCHROCK RD STE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291174",
            "telephone_number": "614-987-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E LONG ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031846",
            "telephone_number": "614-340-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDALL",
        "first_name": "STEPHANIE",
        "middle_name": "DENISE",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0800340",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0800340",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1000202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KOSTO",
            "middle_name": "DENISE",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Halden Vancleave
• Jessica A. Vancleave, RD, LDN
• Kimberly Anne Vancleave
• Chelsea Nicole Vancuren
• Ryan Vancuren, LSW
• Margaret Ann Vandemark, CPSS, CDCA
• Breanna M Vandenheuvel, CDCA
• Matthew Nathan Vanderbilt
• Jacqueline Vanderburgh, MD
• Alicia Jean Vanderelli

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.