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Shawntae Stevenson , LCSW

Social Worker β€’ Mesa, AZ

Active NPI 1659736098 Individual Practitioner Female Practitioner
Practice location in NPPES

1910 S Stapley Dr Ste 120
Mesa, AZ 852046676

Call 5204471606 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1910 S Stapley Dr Ste 120

Mesa, AZ 852046676

Telephone 5204471606
Organization at the Same NPPES Address or Phone
Vitalis Wellness Center Of Phoenix, Az Pc Facility NPI 1497421101

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in New York, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2013

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shawntae Stevenson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Shawntae Stevenson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mesa and Arizona

84 active clinicians are listed under Social Worker with a practice address in Mesa, AZ (1,560 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mesa

1.2% of these 84 clinicians have the CMS telehealth indicator.

6% of these 84 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-18
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES AZ LCSW-23328

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.

Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES NY 095374-1

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20251229002846

Enrollment State Jurisdiction

AZ

PECOS Control ID

0840786810

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1 Gustave L Levy Place, Mount Sinai Hospital

New York, NY 100296574

Phone: 2068412665

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Margarita Arvizu , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1558058636

Psychiatric-Mental Health Nurse Practitioner

Dr. Rumen Slavkov , MD

Psychiatry & Neurology - Psychiatry

NPI 1043269186

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location June 18, 2026

Registered at 1910 S STAPLEY DR STE 120, MESA, AZ 852046676 (Tel: 5204471606)

πŸ“
Updated Business Mailing Address June 18, 2026

Registered at 1910 S STAPLEY DR STE 120, MESA, AZ 852046676 (Tel: 5204471606)

πŸ“
Updated Practice Location May 15, 2026

Registered at 1 GUSTAVE L LEVY PLACE, MOUNT SINAI HOSPITAL, NEW YORK, NY 100296574 (Tel: 2068412665)

πŸ“
Updated Practice Location January 07, 2026

Registered at 13400 E SHEA BLVD, SCOTTSDALE, AZ 852595499 (Tel: 4803018000)

πŸ“
Updated Business Mailing Address January 07, 2026

Registered at PO BOX 860912, MINNEAPOLIS, MN 554860912

πŸ‘€
Provider Name / Credentials Updated January 07, 2026

Recorded as SHAWNTAE STEVENSON, LCSW

βœ…
NPI Profile Active December 30, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 30, 2015

Registered at 1 GUSTAVE L LEVY PLACE, MOUNT SINAI HOSPITAL, NEW YORK, NY 100296574 (Tel: 2068412665)

πŸ“
Business Mailing Address (Initial Record) December 30, 2015

Registered at 1 GUSTAVE L LEVY PLACE, MOUNT SINAI HOSPITAL, NEW YORK, NY 100296574

πŸ‘€
Provider Name / Credentials (Initial Record) December 30, 2015

Recorded as SHAWNTAE STEVENSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2015

Social Worker (license number reported to NPPES: NY 095374-1)

🟒
Initial NPI Registration & Enumeration December 30, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659736098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2015
Last Update: June 18, 2026
Sole Proprietor: No

Mailing Address

1910 S Stapley Dr Ste 120

Mesa, AZ 852046676

Phone: 5204471606

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.