Individual provider Active NPI

Allyson Hunter Stumbaugh, LCSW-A, LCAS-A

  • Clinical Social Worker
  • Black Creek, NC
National Provider Identifier
1083392617
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C019122 Issued in NC
Practice address
510 Church St
Black Creek, NC 27813-9022
Phone
(252) 281-1718
Fax
(252) 281-4842
NPI assigned
Jul 5, 2023
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-29079 NC
Clinical Social Worker 1041C0700X C019122 NC Primary

Addresses

Primary practice location

510 Church St
Black Creek, NC 27813-9022

Mailing address

312 Beck St
Goldsboro, NC 27534-5430
Phone (205) 567-3951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-29079NCMDAddiction (Substance Use Disorder) Counselor
C019122NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Getting Ready Inc. PastSince Jul 9, 2023 Accepting new patients

Organizations & group practices 1

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1083392617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BECK ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275345430",
            "telephone_number": "205-567-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CHURCH ST",
            "city": "BLACK CREEK",
            "state": "NC",
            "postal_code": "278139022",
            "telephone_number": "252-281-1718",
            "fax_number": "252-281-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMBAUGH",
        "first_name": "ALLYSON",
        "middle_name": "HUNTER",
        "credential": "LCSW-A, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-29079",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Creek, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.