Individual provider Active NPI

Stephanie Nicole Garza-Vela

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1790356772
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000223641 Issued in MA
Practice address
115 Warren St
Boston, MA 02119-3206
Phone
(617) 872-9437
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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 000223641 MA Primary

Addresses

Primary practice location

115 Warren St
Boston, MA 02119-3206

Mailing address

35 Elm St Apt 6
Foxboro, MA 02035-2516
Phone (509) 361-9202

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgarza-vela@bgcb.org

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
000223641MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1790356772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ELM ST APT 6",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352516",
            "telephone_number": "509-361-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WARREN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021193206",
            "telephone_number": "617-872-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA-VELA",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000223641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgarza-vela@bgcb.org",
            "affiliation": "N",
            "address_1": "115 Warren St",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021193206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.