Stefanie Von Ohlen LLC
Organization Active NPI Clinical Social Worker · Young Harris, GA
NPI 1982109484 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1982109484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW7268 (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
- Organization subpart
- No
Authorized official
- Name
- Stefanie Von Ohlen, LCSW
- Title
- Owner
- Phone
- (716) 598-7473
Practitioners 3
-
Stefanie Vonohlen, L.C.S.W.
-
Alisha McMorrow, PHD, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240912003998 | GA | Part B Supplier - Clinic/Group Practice | 7012263890 |
Receives reassigned benefits from 1 practitioner Practice locations: Young Harris, GA |
National Provider Directory
Locations
912 Central Ave
Ste 302
St Petersburg, FL 33705
Phone (716) 598-7473
900 Central Ave
Ste 302
St Petersburg, FL 33705
Phone (716) 598-7473
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | SW7268 | FL | Yes |
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
Other providers in Young Harris, GA
- Jimmie Jo Nichols
- Npcwoods Telemedicine, PLLC
- Pro Medical Transport LLC
- Patrick Rushing
- Marissa Shelton Peck
- Towns County Commissioner
- Towns County EMS
- Towns County Health Department
- Trinity Chiropractic
- Union General Affiliated Services, LLC
All providers in Young Harris, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.