Wannette Renee' Stevens-Fripp

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015385 Issued in NC

Practice address

13910 Silver Dart PL
Charlotte, NC 28278-7261

Phone

(678) 596-7375

NPI assigned

Dec 23, 2020

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": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1972190049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 SILVER DART PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787261",
            "telephone_number": "678-596-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 SILVER DART PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787261",
            "telephone_number": "678-596-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS-FRIPP",
        "first_name": "WANNETTE",
        "middle_name": "RENEE'",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Stetzler, R.D.
• Kelly Gerrity Steussy, PT, DPT
• Kevin Matthew Steussy
• Steve Hanna Interventions
• Steven H Jaynes DDS PA
• Arthur Elmo Stevens III, LCSWA
• Brookney Anne Stevens, CNM
• Colby Leigh Stevens, MS, CCC-SLP
• Diane M Stevens, FNP
• James Ashley Stevens Jr., MD

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.