Colleen Elizabeth Stephens, LISW BCO

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095238 Issued in IA

Practice address

221 E State St
Centerville, IA 52544-1813

Phone

(641) 856-6471

Fax

(641) 856-2603

NPI assigned

Nov 23, 2005

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1598748543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "MUNSON ARMY HEALTH CENTER ATTN MCXN COD MS COTTON",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6562",
            "fax_number": "913-684-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E STATE ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441813",
            "telephone_number": "641-856-6471",
            "fax_number": "641-856-2603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 - 104 N. Franklin St",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IA",
            "postal_code": "500601405",
            "country_code": "US",
            "telephone_number": "641-872-1750",
            "fax_number": "641-872-1751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "credential": "LISW BCO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0009689LISW",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "095238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Spowart, RPH
• Jacquelyn Stajcar
• State University of Iowa
• Stater Dental
• Lauren Nicole Stayner
• Cassidy Stewart
• Vincent E. Sullivan, M.D.
• The Continental at St. Joseph'S
• Brianne Elyse Thompson, M.A., CCC-SLP
• Jennifer Tomlin, ARNP

• Clinical Social Worker in Centerville, IA
• Providers in Centerville, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.