Stephanie Anne Billingham, LICSW, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101338 Issued in MA

Practice address

448 Turnpike St
Suite 2D
South Easton, MA 02375-1776

Phone

(508) 238-4114

Fax

(508) 238-4114

NPI assigned

Nov 30, 2006

Last updated

Sep 19, 2008By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1811065956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FOUNDRY ST",
            "address_2": "DURHAM 9",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751732",
            "telephone_number": "508-238-4114",
            "fax_number": "508-238-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 TURNPIKE ST",
            "address_2": "SUITE 2D",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751776",
            "telephone_number": "508-238-4114",
            "fax_number": "508-238-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLINGHAM",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "LICSW, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW LICENCE",
            "identifier": "PO1423",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael James Boylan, BA
• Julie Perry Breton, AUD

• Clinical Social Worker in South Easton, MA
• Providers in South Easton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.