Individual provider Active NPI

Abby Elizabeth Stolts, LMSW

  • Social Worker
  • Coralville, IA
National Provider Identifier
1730963182
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118692 Issued in IA
Practice address
2213 2ND St
Coralville, IA 52241-1205
Phone
(319) 358-2406
Fax
(319) 358-9276
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 118692 IA Primary

Addresses

Primary practice location

2213 2ND St
Coralville, IA 52241-1205

Mailing address

2213 2ND St
Coralville, IA 52241-1205
Phone (319) 358-2406

Other names 1

  • Abby Elizabeth Stuedemann Former name

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

LicenseStateTypeSpecialty
118692IAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1730963182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 2ND ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411205",
            "telephone_number": "319-358-2406",
            "fax_number": "319-358-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 2ND ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411205",
            "telephone_number": "319-358-2406",
            "fax_number": "319-358-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTS",
        "first_name": "ABBY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "118692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "STUEDEMANN",
            "middle_name": "ELIZABETH",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.