MRS. STEPHANIE ANNE WAMBOLD MSW
NPI 1194253492
Social Worker - Clinical in Flint, MI

Active since May 31, 2017
4302 UNDERHILL DR, FLINT, MI 48506(734) 998-2163 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 4, 2017, May 31, 2017 (3 updates tracked since 2017).

About Mrs. Stephanie Anne Wambold Msw NPPES

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

MRS. STEPHANIE ANNE WAMBOLD MSW (NPI 1194253492) is an individual clinical provider in Flint, Michigan, licensed in Michigan (6801093939) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1194253492
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. STEPHANIE ANNE WAMBOLDCredential: MSW
Location Address4302 UNDERHILL DRFlint, MI 48506
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Sole ProprietorNo
Enumeration DateMay 31, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1194253492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801093939
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4302 UNDERHILL DR, Flint, MI 48506

Other Names 1

Former Name (1)Stephanie Anne Cerqua

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
4302 UNDERHILL DR
FLINT, MI 48506
Social Worker (Clinical)
4302 UNDERHILL DR
FLINT, MI 48506
Social Worker (Clinical)
4302 UNDERHILL DR
FLINT, MI 48506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Wambold's NPI number?

The NPI number for Stephanie Wambold is 1194253492. It was assigned to this individual provider in the NPPES registry on May 31, 2017. The provider is also known as Stephanie Anne Cerqua.

Where is Stephanie Wambold located?

Stephanie Wambold practices at 4302 Underhill Dr, Flint, MI 48506. The listed phone number is (734) 998-2163.

What is Stephanie Wambold's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Stephanie Wambold was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.