Stacy Ann Lynch Rodriguez, LMSW
Individual provider Active NPI Case Manager/Care Coordinator · Evant, TX
NPI 1003196841 · NPPES record last updated Aug 25, 2011
Key facts
- NPI
- 1003196841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 50551 (TX)
- Practice address
- 758 County Road 417
Evant, TX 76525 - Phone
- (254) 716-2035
- NPI assigned
- Aug 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50551 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mauney & Associates, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 50551 | TX | Yes |
Addresses
Primary practice location
758 County Road 417
Evant, TX 76525
Mailing address
P.O. Box 351
Evant, TX 76525
Phone (254) 716-2035
Other providers in Evant, TX
- Lori Michelle Fondren
- Lillian M Hinds
- Mauney & Associates, LLC
- Annie Melissa Mauney
- Sheryl Lynn Mims
- Christy Sharum
- Nitu B. Wadhwani
All providers in Evant, TX · Case Manager/Care Coordinator in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.