Active NPI
Tara C Stanfield, LCSW
- Social Worker
- Lexington, KY
National Provider Identifier
1033264379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3338
- Practice address
- 496 Southland Dr
Lexington, KY 40503-1827 - Phone
- (859) 288-2425
- Fax
- (859) 721-3918
- NPI assigned
- Jan 25, 2007
- Last updated
- May 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4812 | KY | |
| Social Worker | 104100000X | 3338 | KY | Primary |
Addresses
Primary practice location
496 Southland Dr
Lexington, KY 40503-1827
Mailing address
496 Southalnd Drive
Lexington, KY 40503-1827
Phone (859) 288-2392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100285630 | Medicaid | KY |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Vista of the Bluegrass Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stanton, KY
- NPI 1043250095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1033264379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 SOUTHALND DRIVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031827",
"telephone_number": "859-288-2392",
"fax_number": "859-721-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 SOUTHLAND DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031827",
"telephone_number": "859-288-2425",
"fax_number": "859-721-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANFIELD",
"first_name": "TARA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "4812",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "3338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100285630",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.