Active NPI
Elizabeth A Stec
- Social Worker
- West Bend, WI
National Provider Identifier
1629326228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 127221121
- Practice address
- 910 E Paradise Dr
West Bend, WI 53095-5451 - Phone
- (262) 292-2570
- NPI assigned
- Aug 29, 2012
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 127221121 | WI | Primary |
Addresses
Primary practice location
910 E Paradise Dr
West Bend, WI 53095-5451
Mailing address
910 E Paradise Dr
West Bend, WI 53095-5451
Phone (262) 292-2570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127221121 | Other | WI | SOCIAL WORK CERTIFICATION |
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 |
|---|---|---|---|
| 127221121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1629326228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 E PARADISE DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530955451",
"telephone_number": "262-292-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E PARADISE DR",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530955451",
"telephone_number": "262-292-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEC",
"first_name": "ELIZABETH",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "127221121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK CERTIFICATION",
"identifier": "127221121",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.