Stacy-Ann Marie Meredith, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16004 Issued in AZ

Practice address

8080 N 51St Ave # Appt115
Glendale, AZ 85302-6234

Phone

(928) 362-0654

NPI assigned

Jul 17, 2022

Last updated

Jul 17, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1063147817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 N 51ST AVE # APPT115",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853026234",
            "telephone_number": "928-362-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 N 51ST AVE # APPT115",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853026234",
            "telephone_number": "928-362-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "STACY-ANN",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-17",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "16004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health Wellness Boutique
• Alexander Ian Meraz, MD
• Brenda Alina Mercado-Tarango, DPT
• Anthony Mercado
• Desiree Meredith
• Debra L Merrifield, PSY.D.
• Anthony Patterson Merrill, DO
• Alison N Merritt, PT
• Gerald Merritt IV, DPM
• Kennedy Wood Merritt, D.D.S.

• Clinical Social Worker in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; 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.