Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
STEPHAN IDRIS MAMBAZO
Active
Individual
STEPHAN IDRIS MAMBAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW-PIP, CGRS
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW009851L
PA
1041C0700X
Clinical Social Worker
3796C
AL
1041C0700X
Clinical Social Worker
Primary
Q1-0013037
DE
1041C0700X
Clinical Social Worker
TPSW1856
FL
Other
Enumeration date
04/23/2015
Last updated
10/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers