Stephanie Danielle Wicker, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801105420 Issued in MI

Practice address

1921 E Miller Rd
Lansing, MI 48911-5348

Phone

(517) 319-0673

NPI assigned

Dec 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Danielle Dosser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Voans Senior Community Care of Michigan Inc.

  • Health Maintenance Organization
  • Lansing, MI
  • NPI 1689079519
  NPD (past)

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1669130910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13120 OLD HICKORY TRL",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 E MILLER RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115348",
            "telephone_number": "517-319-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKER",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DOSSER",
            "middle_name": "DANIELLE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darcy Whitney, CSP
• David Blair Whitney, O.D.
• Wholehearted Living LLC
• Chelsea Elizabeth Wickenheiser, D.O.
• Mary C Wicker, LPC
• Nicole Wieber, CPNP
• Robert Wiebusch
• Hannah Wiegman
• Shannon Georgeann Wiggins, DO
• Dana Wigton, RSW

• All providers in Lansing, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.