Stephanie Nicole Ward, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

97980 Issued in CA

Practice address

749 Corte Madrid
Vacaville, CA 95688-2029

Phone

(707) 337-5032

NPI assigned

Feb 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 1, 2026 through May 1, 2028

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.

• Resilient Roots Counseling, Licensed Clinical Social Worker Inc

  dba Resilient Roots Counseling

  • Clinical Social Worker
  • Fairfield, CA
  • NPI 1770465403
  NPD Authorized official

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1699473892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 BUTTE HOUSE RD STE E",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 CORTE MADRID",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882029",
            "telephone_number": "707-337-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "97980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Ruth Wang, MD
• Sicong Wang, M.D.
• Phuntsok Wangden, PHARMD
• Donald Bradner Ward, CRNA
• Jennifer Ward
• Gregory Yervant Warner, D.O.
• Tenyiah Lailoni Washington
• Lauren Watanabe
• Darren Lee Watkins, RRT,RPFT,RRT-ACCS
• James Watkins

• Clinical Social Worker in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.