Active NPI
Stephon Boone
- Social Worker
- Decatur, AL
National Provider Identifier
1679463509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2205 Beltline Rd SW
Decatur, AL 35601 - Phone
- (708) 752-5993
- NPI assigned
- Jul 3, 2025
- Last updated
- Jul 3, 2025
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
2205 Beltline Rd SW
Decatur, AL 35601
Mailing address
2205 Beltline Rd SW
Decatur, AL 35601
UM
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1679463509",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "2205 BELTLINE RD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "35601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 BELTLINE RD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "35601",
"telephone_number": "708-752-5993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "STEPHON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.