Active NPI
Vicki Lynn Stevenson, LMSW
- Social Worker
- Tempe, AZ
National Provider Identifier
1710414503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-16622
- Practice address
- 2075 S Cottonwood Dr
Tempe, AZ 85282-3040 - Phone
- (480) 718-0568
- Fax
- (480) 999-4102
- NPI assigned
- May 11, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-16622 | AZ | Primary |
Addresses
Primary practice location
2075 S Cottonwood Dr
Tempe, AZ 85282-3040
Mailing address
2075 S Cottonwood Dr
Tempe, AZ 85282-3040
Phone (480) 718-0568
Other practice location 1
483 W. Seed Farm Rd.
Sacaton, AZ 85147-0038
Phone (602) 528-1200
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-16622 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1710414503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 S COTTONWOOD DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852823040",
"telephone_number": "480-718-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 S COTTONWOOD DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852823040",
"telephone_number": "480-718-0568",
"fax_number": "480-999-4102"
}
],
"practiceLocations": [
{
"address_1": "483 W. Seed Farm Rd.",
"address_purpose": "LOCATION",
"city": "Sacaton",
"state": "AZ",
"postal_code": "851470038",
"country_code": "US",
"telephone_number": "602-528-1200",
"fax_number": "602-528-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENSON",
"first_name": "VICKI",
"middle_name": "LYNN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-16622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.