Active NPI
Grace Hayes Stuckey, LCSW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1104949296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26667
- Practice address
- 7601 Hospital Way
Ste 220
Sacramento, CA 95823 - Phone
- (916) 737-5555
- Fax
- (916) 689-8943
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26667 | CA | Primary |
Addresses
Primary practice location
7601 Hospital Way
Ste 220
Sacramento, CA 95823
Mailing address
777 12TH Street
Sacramento, CA 95814
Phone (916) 469-4690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8930 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26667 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Nexus | Past | Accepting new patients |
Locations
7601 Hospital Dr
Ste 220
Sacramento, CA 95823
Phone (916) 689-3433
777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690
1820 J St
Sacramento, CA 95811
Phone (916) 550-5481
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.
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Federally Qualified Health Center (FQHC)
- North Highlands, CA
- NPI 1326175100
-
- Exclusive Provider Organization
- Sacramento, CA
- NPI 1962149864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1104949296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 12TH STREET",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95814",
"telephone_number": "916-469-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 HOSPITAL WAY",
"address_2": "STE 220",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95823",
"telephone_number": "916-737-5555",
"fax_number": "916-689-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKEY",
"first_name": "GRACE",
"middle_name": "HAYES",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "26667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "8930",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.