Active NPI
Carla Stephany, MSSW
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1922082023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7312-123
- Practice address
- 5445 Mark Dabling Blvd
Ste 105
Colorado Springs, CO 80918-3800 - Phone
- (719) 822-1176
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 7312-123 | WI | Primary |
Addresses
Primary practice location
5445 Mark Dabling Blvd
Ste 105
Colorado Springs, CO 80918-3800
Mailing address
845 Circle Rd
Palmer Lake, CO 80133-9054
Phone (920) 933-7807
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 |
|---|---|---|---|
| 7312-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1922082023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 CIRCLE RD",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801339054",
"telephone_number": "920-933-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 MARK DABLING BLVD",
"address_2": "STE 105",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183800",
"telephone_number": "719-822-1176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHANY",
"first_name": "CARLA",
"credential": "MSSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7312-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.