Stefanie Jean Pickens, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078116 Issued in NY

Practice address

116 A Clayton Avenue
Vestal, NY 13850-2430

Phone

(607) 754-1101

Fax

(607) 754-1107

NPI assigned

Dec 27, 2007

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

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Samaritan Counseling Center of the Southern Tier Inc

  • Mental Health Counselor
  • Endicott, NY
  • NPI 1467520080

  Clinical

  Medicare reassignment NPD
• Davenport Holistic Healing and Wellness LLC

  • Clinical Social Worker
  • Spencer, NY
  • NPI 1699590307
  NPD
• Chenango County

  • Home Health Agency
  • Norwich, NY
  • NPI 1114915378
  NPD (past)
• Jerry Duvinsky PHD Licensed Psychologist PC

  • Clinical Psychologist
  • Endicott, NY
  • NPI 1043684681
  NPD (past)

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1578747523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 A CLAYTON AVENUE",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502430",
            "telephone_number": "607-754-1101",
            "fax_number": "607-754-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 A CLAYTON AVENUE",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502430",
            "telephone_number": "607-754-1101",
            "fax_number": "607-754-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "STEFANIE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2025-07-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078116",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Perkins, SLP
• Catherine Danielle Perna, MA, CAS, BCBA
• Mark D Perry, PHARM. D.
• Nina Pesante, MD
• Pharmscript LLC
• Amy Pipher, PHARMD, RPH
• Andrew M Polak
• Jane Polhamus, NP
• Kristie Poncelet
• Sudhan Paulthurai Ponnaiahnadar, PT

• Clinical Social Worker in Vestal, NY
• Providers in Vestal, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.