Individual provider Active NPI

Stacy Ann Schepel, LICSW

  • Clinical Social Worker
  • Luverne, MN
National Provider Identifier
1073832713
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16728 Issued in MN
Practice address
216 E Luverne St
Luverne, MN 56156-1610
Phone
(507) 283-9511
Fax
(507) 283-9514
NPI assigned
May 20, 2010
Last updated
May 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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 16728 MN Primary

Addresses

Primary practice location

216 E Luverne St
Luverne, MN 56156-1610

Mailing address

216 E Luverne St
Luverne, MN 56156-1610
Phone (507) 283-9511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20101013000343 MN Practitioner - Clinical Social Worker 3173715828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Mental Health Center Inc CurrentSince Jan 10, 2023 Accepting new patients
Schepel Counseling LLC Clinical PastSince Dec 22, 2012 Accepting new patients

Locations

117 S Spring St
Luverne, MN 56156
Phone (507) 283-9511

216 E Luverne St
Luverne, MN 56156
Phone (507) 283-9511

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1073832713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E LUVERNE ST",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561610",
            "telephone_number": "507-283-9511",
            "fax_number": "507-283-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E LUVERNE ST",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561610",
            "telephone_number": "507-283-9511",
            "fax_number": "507-283-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEPEL",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luverne, MN

Sources for this page

Verify at the official NPI Registry.