Stephanie Jean Ebarb, LCSW
Individual provider Active NPI Clinical Social Worker · Navasota, TX
NPI 1700599008 · NPPES record last updated Jan 2, 2023
Key facts
- NPI
- 1700599008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 58568 (TX)
- Practice address
- 1405 E Washington Ave
Navasota, TX 77868-3240 - Phone
- (718) 506-1115
- NPI assigned
- Jan 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Supportive Care LLC
Practice addresses (Care Compare)
1405 E Washington Ave
Navasota, TX 77868-3240
Phone (718) 298-4375
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.99 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 66.63
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230113000053 | TX | Practitioner - Clinical Social Worker | 6901277797 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58568 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care LLC | Current |
Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660
1405 E Washington Ave
Navasota, TX 77868
Phone (936) 825-2571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 58568 | TX | Yes |
Addresses
Primary practice location
1405 E Washington Ave
Navasota, TX 77868-3240
Mailing address
11215 Winspring Dr
Tomball, TX 77377-8740
Phone (281) 923-1951
Other providers in Navasota, TX
- Jordan William Conway
- Tara Cook
- Dentist in Navasota PLLC
- Donna H. Canney, MD, PHD, P.a.
- Dace Anita Durante
- Jenna L Elliott
- Ergogenesis Workplace Solutions, LLC
- Amanda Jo Fellers
- FNP Consultation
- Fred E McGilberry & Assoc Inc
All providers in Navasota, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.