MEDICARE: MS. STEPHANIE J CARPENTER CASE MANAGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172V00000X	Community Health Worker
2	251B00000X	Case Management Agency
3	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1023606852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE J CARPENTER CASE MANAGER

Provider Business Mailing Address
First Line	:	32797 HARTSHORN RIDGE RD
Second Line	:
City	:	LEWISVILLE
State	:	OH
Zip	:	43754-9418
Country	:	US
Telephone Number	:	740-538-7006
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 COUNTY HOUSE LN
Second Line	:
City	:	MARIETTA
State	:	OH
Zip	:	45750-6979
Country	:	US
Telephone Number	:	740-376-0939
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2021
Last Update Date	:	04/14/2026

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