STEPHANIE LANDRY
NPI 1649876756
Social Worker - Clinical in Charlestown, MA

Active since December 05, 2020Opted out of Medicare · through Jul 10, 2028
46 HIGH ST APT B, CHARLESTOWN, MA 02129(203) 641-8364 Get Directions Write a Review

NPPES record last updated: December 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephanie Landry NPPES

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

STEPHANIE LANDRY (NPI 1649876756) is an individual clinical provider in Charlestown, Massachusetts, licensed in Massachusetts (221955) and active in the NPI registry since December 2020. She has opted out of Medicare through July 10, 2028.

NPPES Registry Identity

NPI1649876756
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE LANDRY
Location Address46 HIGH ST APT BCharlestown, MA 02129-3744
Mailing Address22 Linnard RdWest Hartford, CT 06107-1232 · (203) 641-8364
Sole ProprietorYes
Enumeration DateDecember 5, 2020
NPPES CertifiedDecember 5, 2020
✔ NPI 1649876756 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 MA · 221955
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.
46 HIGH ST APT B, Charlestown, MA 02129

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Stephanie Landry has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 10, 2026 through July 10, 2028.

Opt-Out Effective DateJuly 10, 2026
Opt-Out In Effect ThroughJuly 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Landry's NPI number?

The NPI number for Stephanie Landry is 1649876756. It was assigned to this individual provider in the NPPES registry on December 5, 2020.

Where is Stephanie Landry located?

Stephanie Landry practices at 46 High St Apt B, Charlestown, MA 02129. The listed phone number is (203) 641-8364.

What is Stephanie Landry's specialty?

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

Is Stephanie Landry enrolled in Medicare?

No. Stephanie Landry has opted out of Medicare through July 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Stephanie Landry accept?

Health plans from Anthem Blue Cross and Blue Shield list Stephanie Landry 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 Stephanie Landry was last updated on December 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.