Individual provider Active NPI

Karen Toby Stoetzer, LCSW

  • Clinical Social Worker
  • Boone, NC
National Provider Identifier
1073799706
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005879 Issued in NC
Practice address
719 Greenway Rd Ste 105
Boone, NC 28607-3118
Phone
(305) 321-1159
Fax
(844) 314-9910
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C005879 NC Primary

Addresses

Primary practice location

719 Greenway Rd Ste 105
Boone, NC 28607-3118

Mailing address

895 State Farm Rd
Suite 508
Boone, NC 28607-4917
Phone (828) 263-5666

Other identifiers 1

IdentifierTypeStateIssuer
C005879OtherNCNORTH CAROLINA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000744 NC Practitioner - Clinical Social Worker 5991881849 Practice locations: Boone, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

719 Greenway Rd
Suite 108
Boone, NC 28607-3100
Phone (305) 321-1159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Past Accepting new patients
New River Service Authority Past Accepting new patients
Julia Tyson Snyder, D.D.S., P.a. PastSince Mar 22, 2020 Accepting new patients
New River Service Authority Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1073799706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD",
            "address_2": "SUITE 508",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074917",
            "telephone_number": "828-263-5666",
            "fax_number": "828-262-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 GREENWAY RD STE 105",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286073118",
            "telephone_number": "305-321-1159",
            "fax_number": "844-314-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOETZER",
        "first_name": "KAREN",
        "middle_name": "TOBY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA",
            "identifier": "C005879",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.