Active NPI
Jessica Catherine Stolar, LCSW
- Clinical Social Worker
- Alamo Heights, TX
National Provider Identifier
1811674534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14020
- Practice address
- 5500 Broadway Unit 401
Alamo Heights, TX 78209-2359 - Phone
- (727) 710-2314
- NPI assigned
- Jul 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14020 | FL | Primary |
Addresses
Primary practice location
5500 Broadway Unit 401
Alamo Heights, TX 78209-2359
Mailing address
5500 Broadway
Unit 401
Alamo Heights, TX 78209
Phone (727) 710-2314
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14020 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688428800000",
"number": "1811674534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 BROADWAY",
"address_2": "UNIT 401",
"city": "ALAMO HEIGHTS",
"state": "TX",
"postal_code": "78209",
"telephone_number": "727-710-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 BROADWAY UNIT 401",
"city": "ALAMO HEIGHTS",
"state": "TX",
"postal_code": "782092359",
"telephone_number": "727-710-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLAR",
"first_name": "JESSICA",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-04",
"last_updated": "2023-07-04",
"certification_date": "2023-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "14020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamo Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.