Individual provider Active NPI

Stacy Wimmer, LCSW

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1093362329
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3170 S Gilbert Rd Ste 1
Chandler, AZ 85286-5104
Phone
(480) 244-8630
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 Primary

Addresses

Primary practice location

3170 S Gilbert Rd Ste 1
Chandler, AZ 85286-5104

Mailing address

3170 S Gilbert Rd Ste 1
Chandler, AZ 85286-5104
Phone (480) 244-8630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230707000316 AZ Practitioner - Clinical Social Worker 1759740806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Days Behavioral HealthGroup PAC ID 2769722719, 3 clinicians

Practice addresses (Care Compare)

3170 S Gilbert Rd
Suite 1
Chandler, AZ 85286-5104
Phone (480) 244-8630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Days Behavioral Health CurrentSince Jun 16, 2023 Accepting new patients
Better Days Behavioral Health Current Accepting new patients

Locations

3170 S Gilbert Rd
Ste 1
Chandler, AZ 85286
Phone (480) 244-8630

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1093362329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 S GILBERT RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852865104",
            "telephone_number": "480-244-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 S GILBERT RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852865104",
            "telephone_number": "480-244-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "STACY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.