LISA M STEFANKO (NPI# 1568603207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568603207 |
| Entity Type | Individual |
| Full Name | LISA M STEFANKO |
| Credential | LCSW |
| Practice Address |
1734 Central Ave Bridgeport CT 06610-2763 |
| Mailing Address |
471 Barnum Ave Bridgeport CT 06608-2409 |
| Practice Telephone | 2035761382 |
| Practice Fax Number | 2035799519 |
| Mailing Telephone | 2033336864 |
| Mailing Fax Number | 2033320376 |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
003405 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 0003405 | 003405 | 01 |
| Street Address |
1734 CENTRAL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467571893 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 1734 Central Ave, Bridgeport, CT 06610-2763 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942599394 | Martha T Hawkins | Social Worker | 27 Trovato St Ste 103, Bridgeport, WV 26330-7002 | 2011-04-06 |
| 1962639476 | Frederick D Belcher | Social Worker | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2009-06-11 |
| 1356575617 | Patricia A Eng | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2009-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681648 | Emily Pappas Boone | Social Worker | 65 Barry Pl, Suffield, CT 06078-2250 | 2018-12-20 |
| 1831566983 | Gary Cesca | Social Worker | 45 North School St, Manchester Public Schools, Manchester, CT 06040 | 2015-08-25 |
| 1881977692 | Erin Forler | Social Worker | 51 Toms Rd, Stamford, CT 06906-1022 | 2011-09-28 |
| 1275837684 | Nicole Marie Lewoc | Social Worker | 31 Village Ln, Wallingford, CT 06492-2426 | 2010-12-28 |
| 1164620274 | Regina Childers | Social Worker | 790 Grand Ave, New Haven, CT 06511-4941 | 2007-07-10 |
| 1770705410 | Ann Macgregor Sullivan | Social Worker | 20 Steele Rd, New Hartford, CT 06057-2612 | 2007-05-03 |
| 1235740762 | Alyson Marie Humphrey | Social Worker | 225 N Main St, Bristol, CT 06010-4926 | 2020-08-10 |
| 1447733803 | Kyli Marshall Jones | Social Worker | 5 Barnes Industrial Rd S, Wallingford, CT 06492-2431 | 2018-09-12 |
| 1770031924 | Olivia Simon | Social Worker | 896 Asylum Ave, Hartford, CT 06105-1901 | 2016-09-16 |
| 1396124699 | Helene Ramirez | Social Worker | 45 Wadsworth St, Hartford, CT 06106-7108 | 2015-05-20 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
Please comment or provide details below to improve the information on LISA M STEFANKO.
| 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.