Individual provider Active NPI

Stephanie Michelle Kostas, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1851781991
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001352 Issued in DE
Practice address
99 Passmore Dr
Wilmington, DE 19803-1548
Phone
(302) 478-9411
Fax
(302) 479-9883
NPI assigned
Jan 28, 2015
Last updated
Jan 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001352 DE Primary

Addresses

Primary practice location

99 Passmore Dr
Wilmington, DE 19803-1548

Mailing address

99 Passmore Dr
Wilmington, DE 19803-1548
Phone (302) 478-9411

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1851781991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PASSMORE DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031548",
            "telephone_number": "302-478-9411",
            "fax_number": "302-479-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PASSMORE DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031548",
            "telephone_number": "302-478-9411",
            "fax_number": "302-479-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTAS",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.