Individual provider Active NPI

Stephen Charles Strang, M.S.W.

  • Clinical Social Worker
  • South Bend, IN
National Provider Identifier
1770553935
Registry record updated Dec 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34001826A Issued in IN
Practice address
1222 S 25TH St
South Bend, IN 46615-1714
Phone
(574) 273-6680
Fax
(574) 273-6681
NPI assigned
Jan 23, 2006
Last updated
Dec 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34001826A IN Primary

Addresses

Primary practice location

1222 S 25TH St
South Bend, IN 46615-1714

Mailing address

1222 S 25TH St
South Bend, IN 46615-1714
Phone (574) 273-6680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180125001401 IN Practitioner - Clinical Social Worker 8527327253 Practice locations: South Bend, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1222 S 25TH St
South Bend, IN 46615-1714
Phone (574) 607-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aims-Med, LLC PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480723200000",
    "number": "1770553935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S 25TH ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151714",
            "telephone_number": "574-273-6680",
            "fax_number": "574-273-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S 25TH ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151714",
            "telephone_number": "574-273-6680",
            "fax_number": "574-273-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANG",
        "first_name": "STEPHEN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2016-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001826A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.