MARY J STAVN
NPI 1639296601
Social Worker - Clinical in East Palo Alto, CA

Active since March 23, 2007
2415 UNIVERSITY AVE, EAST PALO ALTO, CA 94303(650) 363-4030(650) 328-6834 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary J Stavn NPPES

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

MARY J STAVN (NPI 1639296601) is an individual clinical provider in East Palo Alto, California, licensed in California (LCS 26145) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1639296601
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY J STAVN
Location Address2415 UNIVERSITY AVEEast Palo Alto, CA 94303-1164
Mailing Address2415 University AveEast Palo Alto, CA 94303-1164 · (650) 363-4030 · Fax (650) 328-6834
Fax(650) 328-6834
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateDecember 2, 2011
NPI 1639296601 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 CA · LCS 26145
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 ASW17637 (CA)
2415 UNIVERSITY AVE, East Palo Alto, CA 94303

Other Providers at the Same Location NPPES 14

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

Psychiatry & Neurology (Psychiatry)
2415 UNIVERSITY AVE, 3RD FLOOR
EAST PALO ALTO, CA 94303
Peer Specialist
2415 UNIVERSITY AVE, SUITE 30
EAST PALO ALTO, CA 94303
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2415 UNIVERSITY AVE, EAST PALO ALTO COMMUNITY COUNSELLING - 3RD FLOOR
EAST PALO ALTO, CA 94303
Case Manager/Care Coordinator
2415 UNIVERSITY AVE, 2ND FLOOR
EAST PALO ALTO, CA 94303
Marriage & Family Therapist
2415 UNIVERSITY AVE
EAST PALO ALTO, CA 94303
Marriage & Family Therapist
2415 UNIVERSITY AVE, SUITE 30
EAST PALO ALTO, CA 94303
Nurse Practitioner (Psychiatric/Mental Health)
2415 UNIVERSITY AVE, THIRD FLOOR
EAST PALO ALTO, CA 94303
Rehabilitation Practitioner
2415 UNIVERSITY AVE
EAST PALO ALTO, CA 94303

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 Mary Stavn's NPI number?

The NPI number for Mary Stavn is 1639296601. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Mary Stavn located?

Mary Stavn practices at 2415 University Ave, East Palo Alto, CA 94303. The listed phone number is (650) 363-4030.

What is Mary Stavn'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 Mary Stavn was last updated on December 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.