MS. STACIE RENEE DEWOLFE LGSW NPI 1902040249

NPI Information

NPI: 1902040249
Provider Name: MS. STACIE RENEE DEWOLFE, LGSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
2409 HOMER CLAYTON DR
GUNTERSVILLE, AL
ZIP 35976
Phone: (575) 393-3168
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MS. Stacie Renee Dewolfe, LGSW is a mental health counselor in Guntersville, AL with 13 years of experience. MS. Stacie Renee Dewolfe, LGSW NPI is 1902040249. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2409 HOMER CLAYTON DR
GUNTERSVILLE, AL
ZIP 35976-207
Phone: (575) 393-3168
Fax: (575) 937-4659

The NPI 1902040249 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/30/2009 and was last updated on 5/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0120951	NEW MEXICO	No
2	104100000X	Social Worker		X-06231	NEW MEXICO	No
3	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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