Organization Active NPI

Stefanie Von Ohlen LLC

  • Clinical Social Worker
  • Young Harris, GA
National Provider Identifier
1982109484
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7268 Issued in FL
Legal business name
STEFANIE VON OHLEN LLC
Practice address
757 Mining Gap Conn
Young Harris, GA 30582-2327
Phone
(716) 598-7473
Fax
(727) 490-3921
NPI assigned
Mar 27, 2018
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Stefanie Von Ohlen, LCSWNPI 1376707695
Title
Owner
Phone
(716) 598-7473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW7268 FL Primary

Addresses

Primary practice location

757 Mining Gap Conn
Young Harris, GA 30582-2327

Mailing address

757 Mining Gap Conn
Young Harris, GA 30582-2327
Phone (716) 598-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912003998 GA Part B Supplier - Clinic/Group Practice 7012263890 Receives reassigned benefits from 1 practitioner
Practice locations: Young Harris, GA

National Provider Directory

National Provider Directory

Locations

900 Central Ave
Ste 302
St Petersburg, FL 33705
Phone (716) 598-7473

912 Central Ave
Ste 302
St Petersburg, FL 33705
Phone (716) 598-7473

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1982109484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 MINING GAP CONN",
            "city": "YOUNG HARRIS",
            "state": "GA",
            "postal_code": "305822327",
            "telephone_number": "716-598-7473",
            "fax_number": "727-490-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 MINING GAP CONN",
            "city": "YOUNG HARRIS",
            "state": "GA",
            "postal_code": "305822327",
            "telephone_number": "716-598-7473",
            "fax_number": "727-490-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFANIE VON OHLEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "VON OHLEN",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-598-7473",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Young Harris, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.