Stephanie E Wilson, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I1000327 Issued in OH

Practice address

90 S High St Ste E
Dublin, OH 43017-1171

Phone

(614) 579-9657

NPI assigned

Jun 22, 2011

Last updated

Sep 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Stephanie E Stark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Stephanie E Wilson Lisw-S LLC

  • Mental Health Counselor
  • Dublin, OH
  • NPI 1033831649
  NPD Authorized official

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1740576321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 TRAIL LAKE DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658144",
            "telephone_number": "704-576-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S HIGH ST STE E",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171171",
            "telephone_number": "614-579-9657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Clairedan Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "OH",
            "postal_code": "430653505",
            "country_code": "US",
            "telephone_number": "614-579-9657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.1000327",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1000327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "STARK",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meloney Wilson, CDCAPRE.195839
• Mya Wilson
• Sanae Wilson
• Shemya Wilson, LSW
• Simbe S. Wilson
• Valerie Lynn Wilson
• Emma Wilt, BCBA, COBA
• Winack LLC. Dba Assisting Hands Home Care (Assisting hands home care)
• Winchester Chiropractic Clinic, LLC
• Anna Winders

• Clinical Social Worker in Dublin, OH
• Providers in Dublin, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.