Stephanie Mowery, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007240A Issued in IN

Practice address

6507 Ferguson St
Suite 102
Indianapolis, IN 46220-1294

Phone

(317) 819-8337

Fax

(317) 819-8332

NPI assigned

Jun 27, 2015

Last updated

Jun 27, 2015By the provider in NPPES

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 names 1

• Stephanie Thomas Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northside Mental Health

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1689005118
  NPD (past)

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435363200000",
    "number": "1720460660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 FERGUSON ST",
            "address_2": "SUITE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201294",
            "telephone_number": "317-819-8337",
            "fax_number": "317-819-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 FERGUSON ST",
            "address_2": "SUITE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201294",
            "telephone_number": "317-819-8337",
            "fax_number": "317-819-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWERY",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007240A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "THOMAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mout-Maine Moustapha, MS
• Move Up ABA
• Moving Forward Counseling, LLC
• Amy Mowery, NNP
• Nicolas Mowery, CP
• James Brian Mowry, PHARM.D.
• Judith Jacobi Mowry, PHARMD
• Millicent D. Moye, M.D.
• Haylee Moyer
• Kristen E Moyer, MS

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; 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.