Stacia E Noll

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018816 Issued in IL

Practice address

6526 38TH Ave SW
Seattle, WA 98126-3028

Phone

(773) 610-4016

NPI assigned

Dec 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1083159453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6526 38TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263028",
            "telephone_number": "773-610-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6526 38TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263028",
            "telephone_number": "773-610-4016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4541 N Malden St Apt 3N",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405746",
            "country_code": "US",
            "telephone_number": "773-610-4016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLL",
        "first_name": "STACIA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60990238",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ann Nolder, OTRL
• James Paul Nole
• Alyssa Tiffany Noll, MD, PHD
• Elizabeth Anne Noll, MD
• Lauren Elise Noll, MD
• Nomad Therapeutics LLC
• Diana Noman
• Jamie Treadway Nomitch, MD
• Hiusze Noom
• Monica H Noom, ARNP, DNP

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.