Active NPI
Kristine Ann Stephens, MSW, LCSW
- Clinical Social Worker
- Columbia, MO
National Provider Identifier
1942442728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2005024044
- Practice address
- 2504 Oakmeadows Dr
Columbia, MO 65202-2275 - Phone
- (573) 999-5581
- NPI assigned
- Mar 25, 2009
- 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 | 2005024044 | MO | Primary |
Addresses
Primary practice location
2504 Oakmeadows Dr
Columbia, MO 65202-2275
Mailing address
2504 Oakmeadows Dr
Columbia, MO 65202-2275
Phone (573) 999-5581
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 |
|---|---|---|---|
| 2005024044 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1942442728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 OAKMEADOWS DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652022275",
"telephone_number": "573-999-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 OAKMEADOWS DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652022275",
"telephone_number": "573-999-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "KRISTINE",
"middle_name": "ANN",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2005024044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.