STEPHANIE NICOLE SUTHERLAND LSW
NPI 1043681976
Social Worker in Evanston, IL

Q: What is Stephanie Sutherland's NPI number?

The NPI number for Stephanie Sutherland is 1043681976. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Q: What is Stephanie Sutherland's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since October 19, 2015PECOS Enrolled

501 DAVIS ST, EVANSTON, IL 60201(312) 546-4193 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2022, Mar 26, 2020, Apr 27, 2017 (3 updates tracked since 2017).

On this page

About Stephanie Nicole Sutherland Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE NICOLE SUTHERLAND LSW (NPI 1043681976) is an individual social worker in Evanston, Illinois, licensed in Oregon (A4868) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043681976

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSTEPHANIE NICOLE SUTHERLANDCredential: LSW

Location Address501 DAVIS STEvanston, IL 60201-4619

Mailing Address11035 Ne Sandy BlvdPortland, OR 97220-2553 · (503) 258-4220

Phone(312) 546-4193

Sole ProprietorNo

Enumeration DateOctober 19, 2015

Last NPPES UpdateMay 20, 20223 updates tracked since enumeration

NPPES CertifiedMay 20, 2022

✔ NPI 1043681976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in OR · A4868

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

501 DAVIS ST, Evanston, IL 60201

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1912 NE Kelly Ave Ste 200Gresham, OR 97030-5637 · Phone (503) 258-4600

Location 215544 S Clackamas River DrOregon City, OR 97045-9490 · Phone (503) 635-3411 · Fax (503) 675-2258

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Nicole Sutherland Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLIN REIFFMAN LSW

Social Worker