Stephanie Berlyn Guise, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19028 Issued in FL

Practice address

302 Shoreview Dr
Panama City, FL 32404-8950

Phone

(972) 837-0065

NPI assigned

Jan 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 11, 2025 through Dec 11, 2027

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 and National Provider Directory roles.

• Empower Today Therapy LLC

  • Adult Mental Health Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1528763067
  NPD Authorized official

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1760143887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4678 LOVEGRASS LN",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325398357",
            "telephone_number": "972-837-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SHOREVIEW DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324048950",
            "telephone_number": "972-837-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUISE",
        "first_name": "STEPHANIE",
        "middle_name": "BERLYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-02",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reilly Morgan Griffith, PA-C
• Vanessa Rae Grimes, L.M.
• Danielle Janine Grontas, APRN
• Angela Gruber
• Guillot Enterprises, LLC
• Gulf Coast Addiction Medicine
• Gulf Coast Anesthesia LLC
• Gulf Coast Autism Clinic, LLC
• Gulf Coast Children'S Advocacy Center Inc.
• Gulf Coast Children'S Advocacy Center, Inc.

• Clinical Social Worker in Panama City, FL
• Providers in Panama City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.