MS. STEPHANIE ELIZABETH SMALL (NPI# 1285855825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285855825 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE ELIZABETH SMALL |
| Credential | MSW |
| Practice Address |
4710 Table Mesa Dr Ste B Boulder CO 80305-4504 |
| Mailing Address |
203 Bass Cir Lafayette CO 80026-1814 |
| Practice Telephone | 7206661159 |
| Mailing Telephone | 7206661159 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538114947 | Stephanie Small | Nurse Practitioner | 3100 Professional Dr, Ann Arbor, MI 48104-5131 | 2006-05-24 |
| 1184101891 | Stephanie Small | Specialist | 404 E 91st St Fl 2, New York, NY 10128-6807 | 2018-07-25 |
| Street Address |
4710 TABLE MESA DR STE B |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699822981 | Southpointe Family Resource Center, P.C. | Psychologist | 4710 Table Mesa Dr Ste B, Boulder, CO 80305-4504 | 2007-01-05 |
| 1154893808 | Brian Segers | Massage Therapist | 4710 Table Mesa Dr Ste B, Boulder, CO 80305-4504 | 2018-12-19 |
| 1285137208 | Nina K Spencer | Massage Therapist | 4710 Table Mesa Dr Ste B, Boulder, CO 80305-4504 | 2018-03-15 |
| 1265933535 | Caitlin Snow | Massage Therapist | 4710 Table Mesa Dr Ste B, Boulder, CO 80305-4504 | 2018-02-22 |
| 1114425626 | Nancy S Mckay | Massage Therapist | 4710 Table Mesa Dr Ste B, Boulder, CO 80305-4504 | 2018-01-30 |
| 1346751203 | Lynn Hiiaka Abraham | Massage Therapist | 4710 Table Mesa Dr Ste B, Boulder, CO 80305-4504 | 2017-10-18 |
| 1467962068 | Sydney C Fuller | Massage Therapist | 4710 Table Mesa Dr Ste B, Boulder, CO 80305-4504 | 2017-10-09 |
| 1073041984 | Nicole Marie Priola | Massage Therapist | 4710 Table Mesa Dr Ste B, Boulder, CO 80305-4504 | 2017-05-23 |
| 1700232238 | Caleb Griffin | Massage Therapist | 4710 Table Mesa Dr Ste B, Boulder, CO 80305-4504 | 2016-05-13 |
| 1609258003 | Michael Mueller | Massage Therapist | 4710 Table Mesa Dr Ste B, Boulder, CO 80305-4504 | 2015-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902398605 | Kasey Anna Benedict | Social Worker | 5495 Arapahoe Ave Ste 100e, Boulder, CO 80303-1224 | 2018-05-30 |
| 1710485099 | Linda Stevenson-brown | Social Worker | 1650 38th St Ste 206e, Boulder, CO 80301-2621 | 2018-02-01 |
| 1679090153 | Raymond Travis Herbert | Social Worker | 5277 Manhattan Cir Ste 250, Boulder, CO 80303-8212 | 2017-08-25 |
| 1790191971 | Diane Drapkin | Social Worker | 2300 Canyon Blvd Ste 4, Boulder, CO 80302-5619 | 2014-07-08 |
| 1033499074 | Kimberly Hughes | Social Worker | 360 S 43rd St, Boulder, CO 80305-6006 | 2011-08-22 |
| 1154459626 | Tania Formigoni Hollingsworth | Social Worker | 2190 Goddard Pl, Boulder, CO 80305-5616 | 2007-02-28 |
| 1043399652 | Margaret Gloria Robinson | Social Worker | 5277 Manhattan Circle, Suite 110, Boulder, CO 80303 | 2006-11-03 |
| 1336799196 | Anna Marie Smith | Social Worker | 5277 Manhattan Cir Ste 250, Boulder, CO 80303-8212 | 2019-09-13 |
| 1619537396 | Megan Kram | Social Worker | 2439 Broadway St Ste 203, Boulder, CO 80304-4108 | 2019-06-16 |
| 1780247569 | Ellie Kraus | Social Worker | 1790 30th St Ste 305, Boulder, CO 80301-1020 | 2019-04-17 |
| Find all providers in BOULDER | ||||
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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.