Active NPI
Christi Summerlin Stephenson, LCSWA
- Social Worker
- Durham, NC
National Provider Identifier
1568074060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P012320
- Practice address
- 249 E NC Highway 54 Ste 320
Durham, NC 27713-2490 - Phone
- (919) 907-3334
- NPI assigned
- Aug 18, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P012320 | NC | Primary |
Addresses
Primary practice location
249 E NC Highway 54 Ste 320
Durham, NC 27713-2490
Mailing address
249 E NC Highway 54 Ste 320
Durham, NC 27713-2490
Phone (919) 907-3334
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 |
|---|---|---|---|
| P012320 | NC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1568074060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 E NC HIGHWAY 54 STE 320",
"city": "DURHAM",
"state": "NC",
"postal_code": "277132490",
"telephone_number": "919-907-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 E NC HIGHWAY 54 STE 320",
"city": "DURHAM",
"state": "NC",
"postal_code": "277132490",
"telephone_number": "919-907-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "CHRISTI",
"middle_name": "SUMMERLIN",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P012320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.