Active NPI
Stephanie Dolores Taft, LGSW, CAC-AD
- Social Worker
- Baltimore, MD
National Provider Identifier
1942646088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 17226
- Practice address
- 421 Fallsway
Baltimore, MD 21202-4800 - Phone
- (410) 837-5533
- NPI assigned
- May 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AC1718 | MD | |
| Social Worker | 104100000X | 17226 | MD | Primary |
Addresses
Primary practice location
421 Fallsway
Baltimore, MD 21202-4800
Mailing address
3323 Lyndale Ave
Baltimore, MD 21213-1609
Phone (410) 327-8109
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC1718 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| 17226 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1942646088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3323 LYNDALE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212131609",
"telephone_number": "410-327-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 FALLSWAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024800",
"telephone_number": "410-837-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFT",
"first_name": "STEPHANIE",
"middle_name": "DOLORES",
"credential": "LGSW, CAC-AD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "AC1718",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "17226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.