Healthcare Provider Details

I. General information

NPI: 1578772216
Provider Name (Legal Business Name): STEPHEN SCOTT STONE MSW, LISW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 CAMINO DEL OLMO
SANTA FE NM
87501-2377
US

IV. Provider business mailing address

257 CAMINO DEL OLMO
SANTA FE NM
87501-2377
US

V. Phone/Fax

Practice location:
  • Phone: 505-795-9737
  • Fax:
Mailing address:
  • Phone: 505-795-9737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-05337
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: