Stefan J Simanovich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015882 Issued in NC

Practice address

800 Moratuck Dr Apt 301
Raleigh, NC 27604-1444

Phone

(828) 461-2626

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Transforward Care PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1871056598
  NPD Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1922534817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MORATUCK DR APT 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041444",
            "telephone_number": "828-461-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MORATUCK DR APT 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041444",
            "telephone_number": "828-461-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMANOVICH",
        "first_name": "STEFAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095689",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc T Silver, M.D.
• Robert Arnold Silverman, M.D.
• Elliot M. Silverstein, PH.D.
• Facelys Silvestre, MSW
• Christopher M Silvoy, DMD
• Paige Simcox, RN
• Albert Terry Simeone Jr., PA
• Anthony A Simeone, LCAS
• Tracy Simerson
• Ruma Simhan, D.D.S.

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.