Individual provider Active NPI

Stephanie Catherine McCarthy, LICSW

  • Clinical Social Worker
  • Saint Albans, VT
National Provider Identifier
1992425987
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0134902 Issued in VT
Practice address
14 Stebbins St Unit B
Saint Albans, VT 05478-2462
Phone
(802) 370-5489
Fax
(802) 582-4673
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0134902 VT Primary

Addresses

Primary practice location

14 Stebbins St Unit B
Saint Albans, VT 05478-2462

Mailing address

14 Stebbins St Unit B
Saint Albans, VT 05478-2462
Phone (802) 370-5489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124000888 VT Practitioner - Clinical Social Worker 5496126732 Practice locations: Saint Albans, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Stebbins St
Unit B
Saint Albans, VT 05478-2462
Phone (802) 370-5489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1992425987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 STEBBINS ST UNIT B",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054782462",
            "telephone_number": "802-370-5489",
            "fax_number": "802-582-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 STEBBINS ST UNIT B",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054782462",
            "telephone_number": "802-370-5489",
            "fax_number": "802-582-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "STEPHANIE",
        "middle_name": "CATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.