Individual provider Active NPI

Stephanie Lynn Poe, LCSW

  • Clinical Social Worker
  • Bristol, VA
National Provider Identifier
1891743415
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004817 Issued in VA
Practice address
830 Sullins St
Suite 3
Bristol, VA 24201-4193
Phone
(276) 696-7898
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3525 TN
Clinical Social Worker 1041C0700X 0904004817 VA Primary

Addresses

Primary practice location

830 Sullins St
Suite 3
Bristol, VA 24201-4193

Mailing address

830 Sullins St
Suite 3
Bristol, VA 24201-4193
Phone (276) 696-7898

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

State licenses

LicenseStateTypeSpecialty
3525TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Abingdon Center Counseling Group, Inc. Clinical PastSince Jul 1, 1990 Accepting new patients
Frontier Health Past Accepting new patients
Mountain States Health Alliance Past Accepting new patients
Wings of Warriors Counseling PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1891743415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SULLINS ST",
            "address_2": "SUITE 3",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014193",
            "telephone_number": "276-696-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SULLINS ST",
            "address_2": "SUITE 3",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014193",
            "telephone_number": "276-696-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "3525",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.