Mandie Stoll-Tolentino, BSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

4045 Lake Otis Pkwy
Anchorage, AK 99508-5227

Phone

(907) 561-0954

Fax

(907) 561-7093

NPI assigned

May 19, 2022

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

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1942947064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200275",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995200275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 LAKE OTIS PKWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085227",
            "telephone_number": "907-561-0954",
            "fax_number": "907-561-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL-TOLENTINO",
        "first_name": "MANDIE",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery W. Stokes, PA-C
• Luke Joel Stokes, CRNA
• Shaquille Stokes
• Derek J Stolen
• Stephanie Ann Stolen, PHARMD
• Sundrayah Nicole Stoller, M.D.
• Hannah G Stoltz, MD
• Joshua Stoltz
• Tyler Ryan Stoltz, M.D.
• Stone Soup Group

• Social Worker in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.