Active NPI
John Stephens, LSW
- Social Worker
- Port Clinton, OH
National Provider Identifier
1922407006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0020976
- Practice address
- 335 Buckeye Blvd
Port Clinton, OH 43452-1423 - Phone
- (419) 734-2942
- Fax
- (419) 734-4922
- NPI assigned
- Aug 14, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0020976 | OH | Primary |
Addresses
Primary practice location
335 Buckeye Blvd
Port Clinton, OH 43452-1423
Mailing address
1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5177
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 |
|---|---|---|---|
| S.0020976 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1922407006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448704737",
"telephone_number": "419-557-5177",
"fax_number": "419-557-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 BUCKEYE BLVD",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434521423",
"telephone_number": "419-734-2942",
"fax_number": "419-734-4922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0020976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Clinton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.