Stefani Koda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

130546 Issued in CA

Practice address

1551 E Shaw Ave
Fresno, CA 93710-8024

Phone

(559) 320-0490

Fax

(559) 320-0494

NPI assigned

Mar 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: stefani.koda.1@17661.direct.athenahealth.com
• Direct secure messaging: paige.harris.p1@direct.faihp.nextgenshare.com

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1871233833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4086 N ATLAS WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937051747",
            "telephone_number": "559-797-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108024",
            "telephone_number": "559-320-0490",
            "fax_number": "559-320-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODA",
        "first_name": "STEFANI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "105573",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tak-on Ko, M.D.
• Lark C. Kobayashi, D.D.S.
• Nicholas Ryan Koch
• Yvonna Kochergen
• Harry H Kochounian, R.D.O.
• Nikitha Kodali, MD
• Clayton Tatsuo Kodama, DDS
• Kevin Takao Kodama, M.D.
• Kathalene Kae Kodman
• Carmen Martell Koenig, NP

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.