STEPHANIE BROADBENT BLACK (NPI# 1477745446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477745446 |
| Entity Type | Individual |
| Full Name | STEPHANIE BROADBENT BLACK |
| Other Name | STEPHANIE PATRICE BLACK |
| Credential | LCSW, LISW |
| Practice Address |
2319 Catskill Ct Iowa City IA 52245-5250 |
| Mailing Address |
533 N 450 E Springville UT 84663-3402 |
| Practice Telephone | 3196219581 |
| Mailing Telephone | 3196219581 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2013-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
008091 | IA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6656502-3501 | UT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6656502-3502 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149464 | Stephanie Parker Black | Nurse Practitioner | 1101 W Illinois Ave, Midland, TX 79701-6156 | 2020-03-17 |
| 1083124051 | Stephanie Black | Physician Assistant | 1455 Harrison Ave Nw Ste 105, Canton, OH 44708-2609 | 2017-10-04 |
| 1396287181 | Stephanie Frances Black | Occupational Therapy Assistant | 409 Avenue C, Apt 1a, Brooklyn, NY 11218-4525 | 2016-11-09 |
| 1972902773 | Stephanie Black | Registered Nurse | 1979 Bowles Ave, Creedmoor, NC 27522-7824 | 2014-08-18 |
| 1487109971 | Stephanie Black | Student in an Organized Health Care Education/Training Program | 651 I St, Sacramento, CA 95814-2400 | 2016-08-24 |
| 1609226281 | Stephanie Black | Specialist | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2016-06-15 |
| 1659707990 | Stephanie Black | Specialist/Technologist | 100 Hamilton Pointe Dr, 115 & 120, Byron, GA 31008 | 2013-09-18 |
| 1104053016 | Stephanie Lamar Black | Registered Nurse | 1035 Cheraw Street, Bennettsville, SC 29512 | 2009-06-18 |
| 1245479963 | Stephanie Black | Physical Therapist | 2838 Oswell St, Bakersfield, CA 93306-2704 | 2009-02-19 |
| 1710184908 | Stephanie Black | Pediatrics | 34th Street & Civic Center Blvd, Suite 9329, Philadelphia, PA 19104-4399 | 2007-06-29 |
| Street Address |
2319 CATSKILL CT |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
| 1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
| 1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
| 1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
| 1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
| 1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
| 1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
| Find all providers in zip 52245 | ||||
| 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 |
|---|---|---|---|---|
| 1023624913 | Be Well Healing Services, LLC | Social Worker | 1226 Sunset St, Iowa City, IA 52246-4942 | 2020-09-16 |
| 1225662356 | Ricardo Charria | Social Worker | 1020 Kirkwood Ave, Iowa City, IA 52240-5739 | 2020-02-27 |
| 1053964098 | Lindsay L Kenyon | Social Worker | 3330 Lower West Branch Rd, Iowa City, IA 52245-4102 | 2019-07-18 |
| 1740792266 | Katherine Ann Donahue | Social Worker | 960 Longfellow Pl, Iowa City, IA 52240-6267 | 2017-10-25 |
| 1205360054 | Robert Otto | Social Worker | 520 10th Ave Ste B, Iowa City, IA 52241-1910 | 2017-04-19 |
| 1578017224 | Breanne Siebach | Social Worker | 200 Hawkins Dr # Gh124, Iowa City, IA 52242-1009 | 2016-08-11 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1922463769 | Holly Mohr | Social Worker | 2412 Towncrest Dr, Iowa City, IA 52240-6622 | 2015-12-21 |
| 1134509698 | Polly Porter | Social Worker | 1303 Carroll St, Iowa City, IA 52240-4677 | 2015-05-31 |
| 1316378060 | Sojourner Psychotherapy Plc | Social Worker | 300 Scott Ct, Iowa City, IA 52245-3951 | 2013-12-05 |
| Find all providers in IOWA CITY | ||||
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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.