Active NPI
Charlene Luellen Stephens, LMSW
- Clinical Social Worker
- Muskegon, MI
National Provider Identifier
1649449240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801082825
- Practice address
- 1576 Peck St
Muskegon, MI 49441-2547 - Phone
- (231) 727-2901
- NPI assigned
- Feb 27, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801082825 | MI | Primary |
| Social Worker | 104100000X | 6801082825 | MI |
Addresses
Primary practice location
1576 Peck St
Muskegon, MI 49441-2547
Mailing address
205 N Linden Ave
Fremont, MI 49412-1031
Phone (231) 652-0393
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1649449240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N LINDEN AVE",
"city": "FREMONT",
"state": "MI",
"postal_code": "494121031",
"telephone_number": "231-652-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1576 PECK ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412547",
"telephone_number": "231-727-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "CHARLENE",
"middle_name": "LUELLEN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801082825",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801082825",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.