Stacie Renae Nessa, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

03708 Issued in IA

Practice address

918 SE 11TH St
Des Moines, IA 50309-5324

Phone

(515) 282-9377

Fax

(515) 282-6162

NPI assigned

Nov 14, 2011

Last updated

Nov 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Stacie Renae Reynolds Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• SN LLC

  • Clinical Social Worker
  • Des Moines, IA
  • NPI 1144187840
  NPD Authorized official

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1033496450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 SE 11TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503095324",
            "telephone_number": "515-282-9377",
            "fax_number": "515-282-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 SE 11TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503095324",
            "telephone_number": "515-282-9377",
            "fax_number": "515-282-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSA",
        "first_name": "STACIE",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "03708",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "03708",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IA",
            "license": "03708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "REYNOLDS",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deann Nerem, PSY.D
• Frederick James Nesbit III, ARNP
• Jessica Lynn Nesheim, PHARMD
• Nicole Marie Ness, PA-C
• Jennifer Nessa
• Jill Barnes Nestor, LMSW
• Lisa Ann Netten-Foster, PAC
• Ashley Nettleton, DO
• Stacey K Neu, MD
• Nathan Neuberger, DO

• Social Worker in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.