Active NPI
Caitlin Stephan, LMSW
- Clinical Social Worker
- Alpena, MI
National Provider Identifier
1679091433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801100175
- Practice address
- 309 W Lake St
Alpena, MI 49707-2216 - Phone
- (989) 358-3998
- Fax
- (989) 358-3735
- NPI assigned
- Aug 31, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801100175 | MI | Primary |
Addresses
Primary practice location
309 W Lake St
Alpena, MI 49707-2216
Mailing address
PO Box 655
Alpena, MI 49707-0655
Phone (989) 736-9815
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | caitlin.stahlbaum.p1@direct.alcona.nextgenshare.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801100175 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alcona Citizens for Health, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Alpena, MI
- NPI 1093090292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1679091433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655",
"city": "ALPENA",
"state": "MI",
"postal_code": "497070655",
"telephone_number": "989-736-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W LAKE ST",
"city": "ALPENA",
"state": "MI",
"postal_code": "497072216",
"telephone_number": "989-358-3998",
"fax_number": "989-358-3735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHAN",
"first_name": "CAITLIN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-31",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801100175",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "caitlin.stahlbaum.p1@direct.alcona.nextgenshare.com",
"affiliation": "N",
"address_1": "309 W Lake St",
"city": "Alpena",
"state": "MI",
"country_code": "US",
"postal_code": "497072216",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alpena, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.