STEPHENIE R CHAMPLIN MSW, LCSW
NPI 1710257936
Social Worker - Clinical in Costa Mesa, CA
About Stephenie R Champlin Msw, Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHENIE R CHAMPLIN MSW, LCSW (NPI 1710257936) is an individual clinical provider in Costa Mesa, California, licensed in California (LCSW 74243) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stephenie R Champlin Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Stephenie Champlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COSTA MESA, CA 92626
COSTA MESA, CA 92626
COSTA MESA, CA 92626
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 Stephenie Champlin's NPI number?
The NPI number for Stephenie Champlin is 1710257936. It was assigned to this individual provider in the NPPES registry on January 4, 2012.
Where is Stephenie Champlin located?
Stephenie Champlin practices at 3505 Cadillac Ave Bldg O, Suite 109, Costa Mesa, CA 92626. The listed phone number is (714) 432-9856.
What is Stephenie Champlin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Stephenie Champlin enrolled in Medicare?
Yes. Stephenie Champlin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stephenie Champlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephenie Champlin reassigns Medicare benefits to (Costa Mesa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephenie Champlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephenie Champlin was last updated on November 18, 2016. 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.
# Stephenie R Champlin, MSW, LCSW · NPI 1710257936
Clinical provider in Costa Mesa, California. Individual provider, active in the CMS NPPES registry since January 4, 2012.
## Identity
- **NPI:** 1710257936 (Entity type: Individual)
- **Enumerated:** January 4, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW 74243 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3505 CADILLAC AVE, BLDG O, SUITE 109, Costa Mesa, CA 92626-1429
- **Phone:** (714) 432-9856 · **Fax:** (714) 432-7075
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** (NPI 1205862224, Costa Mesa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** November 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1710257936) · Data from the CMS NPPES public registry.