Autumn Stephens

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

125788 Issued in CA

Practice address

1711 Via El Prado Ste 204
Redondo Beach, CA 90277-5721

Phone

(310) 920-1817

NPI assigned

May 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Autumn Stephens Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Redondo Beach, CA
  • NPI 1982569091
  NPD Authorized official

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1922620814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 10TH ST",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544339",
            "telephone_number": "310-920-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 VIA EL PRADO STE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775721",
            "telephone_number": "310-920-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "125788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Staso
• Dana Bryon Staub, L.C.S.W., PSY.D
• Nicole Staudt
• John Freeland Stecker, DDS
• Raleigh Clifford Steinbach, MA, MFT
• Lynn A Sterba, LCSW
• Randolph Peter Stern, D.C.
• Caroline Sylvia Stevens, ACSW
• Judith A Stewart, PHD
• Aprilyn A Stitt, D.C.

• Clinical Social Worker in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.