Active NPI
Stephanie Rose Pinkham, LCSW
- Clinical Social Worker
- Palm Beach Gardens, FL
National Provider Identifier
1962179788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13773
- Practice address
- 100 Village Square Xing Ste 100a
Palm Beach Gardens, FL 33410-4544 - Phone
- (561) 308-3468
- NPI assigned
- Aug 28, 2021
- Last updated
- Aug 28, 2021
- 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 | SW13773 | FL | Primary |
Addresses
Primary practice location
100 Village Square Xing Ste 100a
Palm Beach Gardens, FL 33410-4544
Mailing address
152 Beacon LN
Jupiter, FL 33469-3504
Phone (561) 308-3468
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 |
|---|---|---|---|
| SW13773 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630108800000",
"number": "1962179788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 BEACON LN",
"city": "JUPITER",
"state": "FL",
"postal_code": "334693504",
"telephone_number": "561-308-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VILLAGE SQUARE XING STE 100A",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104544",
"telephone_number": "561-308-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKHAM",
"first_name": "STEPHANIE",
"middle_name": "ROSE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-28",
"last_updated": "2021-08-28",
"certification_date": "2021-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
- Estefani Pilossof Flores
- Pine Island Dermatology, LLC
- Marianne Pineda, PA-C
- Luis Fernando Pineiro, M.D
- Donna M Pinelli, MD
- Pinnacle Advanced Medical Associates, PLLC (Pinnacle Pain and Spine Center)
- Pinnacle Health Centers (Grand Medical Centers)
- James Anthony York Smith Pinotti, DO
- Mark Alan Pinsky, M.D.
- Josephine Markie Piper
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.