Corey Tyler Stepeck, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11711 Issued in CT

Practice address

350 Center Rock GRN
Oxford, CT 06478-3169

Phone

(203) 951-1858

NPI assigned

Mar 23, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1972130896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HIGHWAY",
            "address_2": "HARTFORD HEALTHCARE CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CENTER ROCK GRN",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064783169",
            "telephone_number": "203-951-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPECK",
        "first_name": "COREY",
        "middle_name": "TYLER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "11711",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "5165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Silvia, APRN
• Jill Simon, DDS
• Meghan Slekis, LCSW
• Alexandra Sotiros-Lowry, MD
• Julia Spagnoletti
• Jessica A Suomala, P.T.
• Erin Szymanski, M.S. CCC-SLP
• Anisa K. Taliercio
• Mikaelah Serena Teixeira, CCC-SLP
• Cristin Marie Tilki, OTR/L

• Social Worker in Oxford, CT
• Providers in Oxford, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.