Stephanie Profera

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2608732 Issued in OH

Practice address

158 W Main St
Andover, OH 44003-9318

Phone

(440) 563-6524

NPI assigned

Dec 12, 2017

Last updated

Sep 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/wecaremoreohio/r4/

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.

• Impact Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Andover, OH
  • NPI 1306613823
  NPD
• First Step Recovery of Warren LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Warren, OH
  • NPI 1255736450
  NPD (past)
• First Step Recovery of Warren LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, OH
  • NPI 1346120979

  Substance Abuse Rehabilitation Facility

  NPD (past)
• Impact Recovery Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Andover, OH
  • NPI 1982535357
  NPD (past)

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1578078549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 W MAIN ST",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039318",
            "telephone_number": "440-563-6524",
            "fax_number": "330-369-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W MAIN ST",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039318",
            "telephone_number": "440-563-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFERA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2105847",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2608732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Helen Pavlovski, RN
• Jay Edward Paxton, PTA
• Edward J. Pollander, D.D.S.
• Primary Health Network
• Primary Health Network
• Pymatuning Ambulance Service
• Pymatuning Valley Local School District
• Renal Treatment Centers-Illinois Inc. (Andover Dialysis)
• Samantha Noel Rickert
• Shavonne Nicole Robinson

• Clinical Social Worker in Andover, OH
• Providers in Andover, 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 Sep 11, 2026; 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.