Individual provider Active NPI

Stephanie Lynn Roffey, LCSW

  • Social Worker
  • Cornelius, NC
National Provider Identifier
1841272960
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
C003522 Issued in NC
Practice address
19501 W Catawba Ave
Suite 15 Mailbox 22
Cornelius, NC 28031-4017
Phone
(704) 516-0971
NPI assigned
Nov 15, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C003522 NC Primary

Addresses

Primary practice location

19501 W Catawba Ave
Suite 15 Mailbox 22
Cornelius, NC 28031-4017

Mailing address

18701 The Commons Blvd
Cornelius, NC 28031-7070
Phone (704) 516-0971

Other identifiers 1

IdentifierTypeStateIssuer
6002502MedicaidNC

Other names 1

  • Stephanie Lynn Ruskin Other name

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
C003522NCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841272960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 THE COMMONS BLVD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280317070",
            "telephone_number": "704-516-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19501 W CATAWBA AVE",
            "address_2": "SUITE 15 MAILBOX 22",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314017",
            "telephone_number": "704-516-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFFEY",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C003522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002502",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "RUSKIN",
            "middle_name": "LYNN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.