Stephanie Von Der Lieth, is a
Case Manager/care Coordinator based in Antioch, California. Stephanie Von Der Lieth is licensed to practice in * (Not Available) (license number ) and her current practice location is
3727 Sunset Ln, Antioch, California. She can be reached at her office (for appointments etc.) via phone at
(925) 778-1667.
NPI number for Stephanie Von Der Lieth is 1225390198 and her current mailing address is 3727 Sunset Ln, Antioch, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225390198.
Healthcare Provider's Profile
| Full Name | Stephanie Von Der Lieth |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 3727 Sunset Ln, Antioch, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225390198
- Provider Enumeration Date: 06/15/2012
- Last Update Date: 05/17/2023
Medical Identifiers
Medical identifiers for Stephanie Von Der Lieth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225390198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Von Der Lieth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephanie Von Der Lieth,
3727 Sunset Ln,
Antioch, CA 94509-6134
Ph: (925) 778-1667 | Stephanie Von Der Lieth,
3727 Sunset Ln,
Antioch, CA 94509-6134
Ph: (925) 778-1667 |
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