Individual provider Active NPI

Stefanie E Lebarre, LCSW

  • Clinical Social Worker
  • Wasilla, AK
National Provider Identifier
1992542088
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
213460 Issued in AK
Practice address
901 N Leatherleaf Loop Ste 103
Wasilla, AK 99654-6576
Phone
(907) 631-9365
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW19428 FL
Clinical Social Worker 1041C0700X 213460 AK Primary

Addresses

Primary practice location

901 N Leatherleaf Loop Ste 103
Wasilla, AK 99654-6576

Mailing address

750 W Dimond Blvd # 1124
Anchorage, AK 99515-1515
Phone (813) 364-9816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
213460AKMDClinical Social Worker
SW19428FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1992542088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W DIMOND BLVD # 1124",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151515",
            "telephone_number": "813-364-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N LEATHERLEAF LOOP STE 103",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546576",
            "telephone_number": "907-631-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBARRE",
        "first_name": "STEFANIE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19428",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "213460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.