Active NPI
Stephanie Wolper, LCSW
- Clinical Social Worker
- Walnut Creek, CA
National Provider Identifier
1992731731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS15423
- Practice address
- 1204 Alpine Rd
Suite 4
Walnut Creek, CA 94596-4488 - Phone
- (510) 653-8309
- Fax
- (925) 933-7145
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS15423 | CA | Primary |
Addresses
Primary practice location
1204 Alpine Rd
Suite 4
Walnut Creek, CA 94596-4488
Mailing address
1 Baywood Ave
Suite 7
San Mateo, CA 94402-1537
Phone (701) 255-9279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050720000549 | CA | Practitioner - Clinical Social Worker | 3678500758 | Practice locations: Oakland, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3792 Harrison St
Apt 25
Oakland, CA 94611-5062
Phone (510) 599-0559
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS15423 | CA | MD | Clinical Social Worker |
| 15423 | CA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992731731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BAYWOOD AVE",
"address_2": "SUITE 7",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944021537",
"telephone_number": "701-255-9279",
"fax_number": "701-255-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 ALPINE RD",
"address_2": "SUITE 4",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964488",
"telephone_number": "510-653-8309",
"fax_number": "925-933-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLPER",
"first_name": "STEPHANIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS15423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.