Stacy Schumpert, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014198 Issued in NC

Practice address

330 Camp Rd Ste B80
Charlotte, NC 28206-4005

Phone

(704) 286-6422

NPI assigned

Nov 22, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1023883733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 FURLONG TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690449",
            "telephone_number": "704-223-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CAMP RD STE B80",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282064005",
            "telephone_number": "704-286-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMPERT",
        "first_name": "STACY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Schultz
• Michele A. Schultze, NP
• Christian James Schulz, PA
• Olivia Mary Schulz, PA-C
• Amanda Leigh Schuman, PA-C
• Curtis Wayne Schupbach, MD
• Peter Joseph Schupp, CRNA
• Jacob Schur, PHYSICAL THERAPY
• Elizabeth Ann Schurick, PA-C
• Schuster Chiropractic Offices PA (Schuster Chiropractic Office)

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.