Active NPI
Stephanie N. Lopez, LISW-S
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1710025184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0500077
- Practice address
- 100 Outerbelt St.
Gestalt Associates, Inc.
Columbus, OH 43213 - Phone
- (614) 751-5393
- Fax
- (614) 751-5394
- NPI assigned
- Feb 1, 2007
- Last updated
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.0500077 | OH | Primary |
Addresses
Primary practice location
100 Outerbelt St.
Gestalt Associates, Inc.
Columbus, OH 43213
Mailing address
100 Outerbelt St.
Columbus, OH 43213
Phone (614) 751-5393
Other names 1
- Stephanie N. Botts
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.0500077 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gestalt Associates, Inc. | Clinical | Past | Accepting new patients |
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": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1710025184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OUTERBELT ST.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-751-5393",
"fax_number": "614-751-5394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OUTERBELT ST.",
"address_2": "GESTALT ASSOCIATES, INC.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-751-5393",
"fax_number": "614-751-5394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "STEPHANIE",
"middle_name": "N.",
"name_prefix": "Mrs.",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0500077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "BOTTS",
"middle_name": "N.",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.