Stephanie Butcher Mezei, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007096 Issued in GA

Practice address

520 Wentworth CT
Fayetteville, GA 30215-7830

Phone

(770) 744-3772

NPI assigned

Jun 20, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Stephanie Lauren Butcher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Journey of Hope Counseling LLC

  • Clinical Social Worker
  • Fayetteville, GA
  • NPI 1235879727
  NPD Authorized official
• Wellmood PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1154182368
  NPD (past)

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1821437005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WENTWORTH CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302157830",
            "telephone_number": "770-744-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WENTWORTH CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302157830",
            "telephone_number": "770-744-3772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Westpark Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302691447",
            "country_code": "US",
            "telephone_number": "678-383-1210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2715 Colonial Dr",
            "address_2": "Suite 200A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036818",
            "country_code": "US",
            "telephone_number": "803-898-1555",
            "fax_number": "803-898-2194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZEI",
        "first_name": "STEPHANIE",
        "middle_name": "BUTCHER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011264",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "SW13366CP",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BUTCHER",
            "middle_name": "LAUREN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Funmilayo Mejabi, LPC
• Rachel J Melton, PA-C
• Christina Merman
• Cynthia Dawn Merrick, LCSW
• Lisa Jan Merritt, NP
• Michael E Wilson OD PC
• David Michel, PA
• Dianne Michelson
• Darien Middleton, RBT
• Donna-Lee Mighty-Moore

• Clinical Social Worker in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.