Stefani Lyn Bohm, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW011564L Issued in PA

Practice address

1489 Baltimore Pike
Suite 250
Springfield, PA 19064-3958

Phone

(610) 544-2110

Fax

(610) 604-9510

NPI assigned

Apr 7, 2006

Sex

Female

Sole proprietor

Yes

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.

• Scott a. Fleischer, M.D., P.C.

  • Psychiatry Physician
  • Fort Washington, PA
  • NPI 1720181720
  Medicare reassignment Care Compare group NPD PA

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2020.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1770546137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PENNSYLVANIA AVE",
            "address_2": "STE 105",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343404",
            "telephone_number": "215-793-4546",
            "fax_number": "215-793-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 BALTIMORE PIKE",
            "address_2": "SUITE 250",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643958",
            "telephone_number": "610-544-2110",
            "fax_number": "610-604-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHM",
        "first_name": "STEFANI",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW011564L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald M. Block, M.D.
• Brittany Maureen Blood, PHARMD
• Bloom Town LLC
• Mitchel Jeffrey Blumenthal, DMD
• Lindsay Tiara Blunt
• Frederick Bohn, D.C.
• Kailyn Ann Bonner, CCC-SLP
• Elliot S Borden, DMD
• Kenneth J Bosch, D.M.D.
• Brittany Lauren Demara Bottmeyer, MS, CCC-SLP,LAT, ATC

• All providers in Springfield, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.