MRS. SUZANNE ELIA STEPHAN (NPI# 1619246030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619246030 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE ELIA STEPHAN |
| Credential | LCSW |
| Practice Address |
8616 Northern Ave Rockford IL 61107-5309 |
| Practice Telephone | 8153326019 |
| Practice Fax Number | 8153326090 |
| Mailing Telephone | 8153326019 |
| Mailing Fax Number | 8153326090 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149012747 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION | 149012747 | 01 |
| Street Address |
8616 NORTHERN AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245217959 | Raymond Christopher Garcia | Psychiatry & Neurology | 8616 Northern Ave, Rockford, IL 61107-5309 | 2005-12-23 |
| 1659930956 | Margaret L Loy | Psychologist | 8616 Northern Ave, Rockford, IL 61107-5309 | 2019-06-10 |
| 1366005779 | Jacob Urbelis | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2019-04-22 |
| 1679032692 | Asia E Mueller | Registered Nurse | 8616 Northern Ave, Rockford, IL 61107-5309 | 2019-03-19 |
| 1134688179 | Lori Martineau | Social Worker | 8616 Northern Ave, Rockford, IL 61107-5309 | 2019-03-19 |
| 1669931689 | Christina Renee Kelley | Registered Nurse | 8616 Northern Ave, Rockford, IL 61107-5309 | 2019-03-19 |
| 1497220388 | Jermaine E Tolefree | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-10-08 |
| 1699253617 | Lakeysha Watkins | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-08-01 |
| 1528546587 | Kelsey E Hayes | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-08-01 |
| 1417435652 | Shannon Marie Ferriter | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| 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 |
|---|---|---|---|---|
| 1306444070 | Susan Glover | Social Worker | 65 S Main St Lowr Level, Rockford, MI 49341-1286 | 2020-10-14 |
| 1669085445 | Lorri Ann Romesberg | Social Worker | 5738 Dorado Ct Ne, Rockford, MI 49341-8335 | 2020-08-31 |
| 1063020246 | Samantha Lane | Social Worker | 5402 Applewood Close, Rockford, IL 61114-5490 | 2020-07-14 |
| 1518587872 | Laura Kathleen Lindell | Social Worker | 4003 Mila Ave, Rockford, IL 61101-5069 | 2020-04-16 |
| 1548895527 | Stephanie Syverson | Social Worker | 695 N Perryville Rd Ste 4, Rockford, IL 61107-6225 | 2020-03-10 |
| 1508497975 | Laurie Hadler | Social Worker | 740 Tulip Ln, Rockford, IL 61107-5828 | 2020-02-03 |
| 1538708243 | Nicole Elizabeth Rundall-royal | Social Worker | 1302 Thoren Ln, Rockford, IL 61107-2662 | 2019-12-27 |
| 1568006096 | Bridget Denise Mcknight | Social Worker | 5959 Forest Trail Dr, Rockford, IL 61109-6535 | 2019-10-28 |
| 1538716105 | Geiselhart Solution Focused Therapy, LLC | Social Worker | 4102 Will Ann Dr, Rockford, IL 61101-6047 | 2019-08-20 |
| 1548816184 | Amy Hultman | Social Worker | 4320 Spring Creek Rd Ste 9, Rockford, IL 61107-1157 | 2019-08-09 |
| Find all providers in ROCKFORD | ||||
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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.