Active NPI
Stephonie Deonne Coward-Leary, LCSWA
- Clinical Social Worker
- New Bern, NC
National Provider Identifier
1558041756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P019450
- Practice address
- 1425 S Glenburnie Rd Ste 2
New Bern, NC 28562-2610 - Phone
- (252) 336-3646
- NPI assigned
- Jul 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P019450 | NC | Primary |
Addresses
Primary practice location
1425 S Glenburnie Rd Ste 2
New Bern, NC 28562-2610
Mailing address
1425 S Glenburnie Rd Ste 2
New Bern, NC 28562-2610
Phone (252) 336-3646
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P019450 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Place to Start Behavioral Health Services | Clinical | Current | Accepting new patients |
Locations
1425 S Glenburnie Rd
Ste 2
New Bern, NC 28562
Phone (252) 336-3646
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.
-
- Clinical Social Worker
- New Bern, NC
- NPI 1679042683
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1558041756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 S GLENBURNIE RD STE 2",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622610",
"telephone_number": "252-336-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S GLENBURNIE RD STE 2",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622610",
"telephone_number": "252-336-3646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWARD-LEARY",
"first_name": "STEPHONIE",
"middle_name": "DEONNE",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-21",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P019450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.