Individual provider Active NPI

Stephanie Michelle Silva

  • Clinical Social Worker
  • Patrick Air Force Base, FL
National Provider Identifier
1679957336
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009460 Issued in NC
Practice address
1381 S Patrick Dr
Patrick Air Force Base, FL 32925-3606
Phone
(910) 229-6830
NPI assigned
Jul 13, 2015
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009460 NC Primary

Addresses

Primary practice location

1381 S Patrick Dr
Patrick Air Force Base, FL 32925-3606

Mailing address

1381 S Patrick Dr
Patrick Air Force Base, FL 32925-3606
Phone (910) 229-6830

Other practice location 1

806 Hay St
Fayetteville, NC 28305
Phone (910) 860-7008

Other practice location 2

3507 Hill St
Hope Mills, NC 28348-1870
Phone (910) 339-0901

Other practice location 3

131 W Edinborough Ave
Raeford, NC 28376-2861
Phone (910) 848-1222

Other names 1

  • Stephanie Michelle Adams Former name

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

LicenseStateTypeSpecialty
C009460NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lux Counseling & Consulting, LLC Clinical Current Accepting new patients

Locations

1381 S Patrick Dr
Patrick Air Force Base, FL 32925
Phone (321) 494-8241

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1679957336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 S PATRICK DR",
            "city": "PATRICK AIR FORCE BASE",
            "state": "FL",
            "postal_code": "329253606",
            "telephone_number": "910-229-6830",
            "fax_number": "910-221-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 S PATRICK DR",
            "city": "PATRICK AIR FORCE BASE",
            "state": "FL",
            "postal_code": "329253606",
            "telephone_number": "910-229-6830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 Hay St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "28305",
            "country_code": "US",
            "telephone_number": "910-860-7008",
            "fax_number": "910-221-9006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3507 Hill St",
            "address_purpose": "LOCATION",
            "city": "Hope Mills",
            "state": "NC",
            "postal_code": "283481870",
            "country_code": "US",
            "telephone_number": "910-339-0901",
            "fax_number": "910-339-0904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 W Edinborough Ave",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283762861",
            "country_code": "US",
            "telephone_number": "910-848-1222",
            "fax_number": "910-848-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ADAMS",
            "middle_name": "MICHELLE",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Patrick Air Force Base, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.