Stephanie Bodon, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

103479-1 Issued in NY

Practice address

900 Walt Whitman Rd Ste LL1
Melville, NY 11747-2215

Phone

(516) 698-5511

Fax

(516) 418-5377

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1962961953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD STE LL1",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472215",
            "telephone_number": "516-698-5511",
            "fax_number": "516-418-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD STE LL1",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472215",
            "telephone_number": "516-698-5511",
            "fax_number": "516-418-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODON",
        "first_name": "STEPHANIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103479-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Andrew Blednick, PHD
• Joel Block, PH.D.
• Stacey L Blumberg, M.S. CCC-SLP
• Richard Stephen Blume, MD
• Marilyn Blumenthal, PHD
• Bodyfirst Physical Therapy P.C.
• Tara Boland
• Heather M Bolanos, MS SLP
• Isaac Kweku Bondzie
• Leslie E Bonilla

• Social Worker in Melville, NY
• Providers in Melville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.