Active NPI
Mitzi Darlene Stephens, LMSW
- Clinical Social Worker
- Bristol, CT
National Provider Identifier
1871302653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10649
- Practice address
- 25 Washington St Apt 9
Bristol, CT 06010-5473 - Phone
- (945) 289-2339
- NPI assigned
- Jan 6, 2025
- Last updated
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 10649 | CT | Primary |
Addresses
Primary practice location
25 Washington St Apt 9
Bristol, CT 06010-5473
Mailing address
25 Washington St Apt 9
Bristol, CT 06010-5473
Phone (945) 289-2339
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 |
|---|---|---|---|
| 10649 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1871302653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WASHINGTON ST APT 9",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060105473",
"telephone_number": "945-289-2339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 WASHINGTON ST APT 9",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060105473",
"telephone_number": "945-289-2339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "MITZI",
"middle_name": "DARLENE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "10649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.