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

Active since April 23, 2015
2541 COLLEGE ST, MONTGOMERY, AL 36106(334) 207-7657 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Alabama (3796C) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1609263052
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHAN IDRIS MAMBAZOCredential: MSW, LICSW-PIP, CGRS
Location Address2541 COLLEGE STMontgomery, AL 36106-2124
Mailing Address2541 College StMontgomery, AL 36106-2124 · (334) 207-7657
Sole ProprietorYes
Enumeration DateApril 23, 2015
Last NPPES UpdateMarch 1, 2017
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
License Licensed in AL · 3796C
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)
2541 COLLEGE ST, Montgomery, AL 36106

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Marriage & Family Therapist
2541 COLLEGE ST
MONTGOMERY, AL 36106
Community/Behavioral Health
2541 COLLEGE ST
MONTGOMERY, AL 36106

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 2541 College St, Montgomery, AL 36106. The listed phone number is (334) 207-7657.

What is Stephan Mambazo's specialty?

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

What insurance does Stephan Mambazo accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, Providence Health Plan 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 March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.