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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEPHAN IDRIS MAMBAZO MSW, LICSW-PIP, CGRS
NPI 1609263052
Social Worker - Clinical in Montgomery, AL

Active since April 23, 2015PECOS Enrolled
201 TAYLOR OAKS CIR UNIT 104, MONTGOMERY, AL 36116(844) 626-2296(855) 461-3448 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Mar 1, 2017 (2 updates tracked since 2017).

About Stephan Idris Mambazo Msw, Licsw-pip, Cgrs NPPES

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

STEPHAN IDRIS MAMBAZO MSW, LICSW-PIP, CGRS (NPI 1609263052) is an individual clinical provider in Montgomery, Alabama, licensed in Delaware (Q1-0013037) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609263052
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHAN IDRIS MAMBAZOCredential: MSW, LICSW-PIP, CGRS
Location Address201 TAYLOR OAKS CIR UNIT 104Montgomery, AL 36116-8538
Mailing AddressPo Box 230155Montgomery, AL 36123-0155 · (844) 626-2296 · Fax (855) 461-3448
Phone(844) 626-2296
Fax(855) 461-3448
Sole ProprietorYes
Enumeration DateApril 23, 2015
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1609263052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in DE · Q1-0013037✔ Licensed in AL · 3796C✔ Licensed in FL · TPSW1856
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.
Also ListedSocial WorkerTaxonomy 104100000X · License SW009851L (PA)
201 TAYLOR OAKS CIR UNIT 104, Montgomery, AL 36116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephan Idris Mambazo Msw, Licsw-pip, Cgrs 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.65 – $161.63
Typical copayment $0.00 (range $13.16 – $40.40)
Most-billed visit code NA
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephan Mambazo's NPI number?

The NPI number for Stephan Mambazo is 1609263052. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Stephan Mambazo located?

Stephan Mambazo practices at 201 Taylor Oaks Cir Unit 104, Montgomery, AL 36116. The listed phone number is (844) 626-2296.

What is Stephan Mambazo's specialty?

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

Is Stephan Mambazo enrolled in Medicare?

Yes. Stephan Mambazo is registered in the Medicare PECOS enrollment system.

What insurance does Stephan Mambazo accept?

Health plans from Blue Cross and Blue Shield of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Stephan Mambazo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephan Mambazo was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.