STEPHANIE EDWARDS ALLEN (NPI# 1114558236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114558236 |
| Entity Type | Individual |
| Full Name | STEPHANIE EDWARDS ALLEN |
| Practice Address |
847 W Lake Dr Mount Airy NC 27030-2157 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3367836919 |
| Mailing Telephone | 7049391100 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P014282 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760856488 | Stephanie W Allen | Physical Therapist | Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 | 2015-11-18 |
| 1568853901 | Stephanie Anne Allen | Psychologist | 123 Carley Dr, West Sayville, NY 11796-1007 | 2015-02-06 |
| 1235483496 | Stephanie Allen | Occupational Therapy Assistant | 6913 Falling Meadows Dr, Galena, OH 43021-7502 | 2012-11-08 |
| 1558628297 | Stephanie P Allen | Pharmacist | 4250 Alafaya Trl Ste 148, Oviedo, FL 32765-9430 | 2012-04-19 |
| 1235434507 | Stephanie Kim Allen | Social Worker | 660 George Washington Way Ste Y, Richland, WA 99352-4246 | 2011-01-18 |
| 1396057048 | Stephanie Allen | Dietitian, Registered | 4721d Sunset Blvd, Lexington, SC 29072-9151 | 2010-07-10 |
| 1184711491 | Stephanie Renee Allen | Counselor | 100 Churchill Dr, Juliette, GA 31046-3840 | 2006-10-06 |
| 1437126372 | Stephanie J Allen | Chiropractor | 1781 W 9000 S, West Jordan, UT 84088-6502 | 2006-02-28 |
| 1245793876 | Stephanie Michelle Allen | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Mmc 395, Minneapolis, MN 55455 | 2019-04-10 |
| 1639656382 | Stephanie Allen | Nurse Practitioner | 555 Madison Ave, New York, NY 10022-3301 | 2018-07-25 |
| Street Address |
847 W LAKE DR |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265468771 | Ronald Baczurik | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2006-06-25 |
| 1811558596 | Sydney Elizabeth Dockery | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2019-06-24 |
| 1407338239 | Deanna Lee Heath | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2018-08-29 |
| 1427543149 | Haley Mccoin Sullivan | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2018-06-25 |
| 1861937922 | Rachel Butts Smith | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2016-12-28 |
| 1619340106 | Kimberly A Bowers | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2015-11-05 |
| 1093198954 | Ritchie D Puckett | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2015-07-09 |
| 1881094175 | Tabatha Points | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2014-08-25 |
| 1225460033 | Betty Lovell | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2013-08-02 |
| 1558601658 | John Deir | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2013-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366879207 | Linda Macek | Social Worker | 5633 Catoctin Ridge Dr, Mount Airy, MD 21771-6009 | 2013-10-10 |
| 1174884258 | Pain and Spine Specialists of Maryland, LLC | Social Worker | 2702 Back Arce Circle, 290b, Mount Airy, MD 21771-7769 | 2012-06-05 |
| 1932398476 | Calvin Thomas | Social Worker | 1102 Village Gate Ct, Mount Airy, MD 21771-5779 | 2007-10-22 |
| 1124243159 | Helene Thaker | Social Worker | 7415 Woodville Rd, Mount Airy, MD 21771-9211 | 2007-04-16 |
| 1518051044 | Julee K Phifer | Social Worker | 849 East Pine Street, Mount Airy, Mount Airy, NC 27030 | 2006-10-02 |
| 1659326619 | Linda Mardell Gatchel | Social Worker | 131 W Lebanon St, Suite C & E, Mount Airy, NC 27030-2935 | 2006-05-24 |
| 1811558596 | Sydney Elizabeth Dockery | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2019-06-24 |
| 1720647365 | Pain and Spine Specialists of Maryland, LLC | Social Worker | 2702 Back Acre Cir Ste 290b, Mount Airy, MD 21771-7769 | 2019-06-07 |
| 1407338239 | Deanna Lee Heath | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2018-08-29 |
| 1942795323 | Kristy Lynette Mabe | Social Worker | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2018-06-27 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.