MEDICARE: MRS. CHRYSTYNA MARIE STUMPF

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	S.2613424	OH

General Provider Information

NPI Number	:	1538962279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRYSTYNA MARIE STUMPF

Provider Business Mailing Address
First Line	:	175 MILAN AVE
Second Line	:
City	:	NORWALK
State	:	OH
Zip	:	44857-1131
Country	:	US
Telephone Number	:	561-743-7199
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 SAINT MARYS ST
Second Line	:
City	:	NORWALK
State	:	OH
Zip	:	44857-1807
Country	:	US
Telephone Number	:	419-577-3340
Fax Number	:	419-577-3340

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

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	02/04/2026

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