Claudia Lee Stephens, LCSW; PSC;

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17741 Issued in TX

Practice address

1700 Charlottsville Dr
Ennis, TX 75119-2104

Phone

(972) 965-2367

NPI assigned

Sep 4, 2020

Last updated

Sep 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1801400973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CHARLOTTSVILLE DR",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751192104",
            "telephone_number": "972-965-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CHARLOTTSVILLE DR",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751192104",
            "telephone_number": "972-965-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "CLAUDIA",
        "middle_name": "LEE",
        "credential": "LCSW; PSC;",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "17741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "smucl@aol.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1700 Charlottsville Dr",
            "city": "Ennis",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751192104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meryle Dorothy Smith, CRNA
• Ingrid G Solis, PA-C
• Southwestern Digestive Health Physicians, PA
• Justin Lee Spence, PHARMD
• Stephen C. Durbin, DDS, PC
• Paige Erin Stipe, PTA
• John M Sullivan, MD
• Margaret Mary Sullivan, MD
• Summit Therapeutic Concepts of Ennis LLC (Peak Physical Therapy & Sports Medicine Center of Ennis)
• Synapse Pain Management, PLLC

• Clinical Social Worker in Ennis, TX
• Providers in Ennis, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.