Stephanie Anne Theis, L.C.S.W., M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2004024150 Issued in MO

Practice address

921 E 34TH St Ste a
Joplin, MO 64804-3933

Phone

(417) 623-2292

Fax

(417) 623-3328

NPI assigned

Mar 9, 2007

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

Other identifiers 1

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.

• Children'S Haven of Southwest Missouri, Inc.

  • Foster Care Agency
  • Joplin, MO
  • NPI 1659095289
  NPD Authorized official
• Children'S Center

  • Voluntary or Charitable Agency
  • Joplin, MO
  • NPI 1710184270
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699807453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 S MAIN ST",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648362712",
            "telephone_number": "417-358-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E 34TH ST STE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043933",
            "telephone_number": "417-623-2292",
            "fax_number": "417-623-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIS",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W., M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004024150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MISSOURI",
            "identifier": "193119",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Independent Living Center, Inc.
• The Independent Living Center, Inc.
• The Mobile Speech Clinic, LLC
• The Optical Shoppe
• Jennifer K. Theis, NP
• Dorothy N Theus, PLPC
• Thomas K Hamilton, DO P.C.
• Heather Thomas
• Reba Elizabeth Thomas
• Scott E Thomas, RPT

• Clinical Social Worker in Joplin, MO
• Providers in Joplin, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.