Marcia Stapleton, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1685 Issued in MN

Practice address

881 Madison Ave
Mankato, MN 56001-6139

Phone

(507) 225-0450

Fax

(507) 779-7182

NPI assigned

Jul 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willow Pathways Therapeutic Services LLCGroup PAC ID 7810365012, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Willow Pathways Therapeutic Services LLC

  • Mental Health Counselor
  • Mankato, MN
  • NPI 1124765383

  MN

  Medicare reassignment Care Compare group NPD
• Care Clinics, LLC

  • Psychologist
  • St Louis Park, MN
  • NPI 1851716245
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1124028253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016139",
            "telephone_number": "507-225-0450",
            "fax_number": "507-779-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016139",
            "telephone_number": "507-225-0450",
            "fax_number": "507-779-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "MARCIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-08-01",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "1685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124028253",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeyanthan Ramesh Srikanthan, MD
• Joni Lynn Stadtherr, L.I.C.S.W
• Kimberly Mary Staebell, NP-C
• Carole A Staelgraeve, MS, LP
• Warren R Stanchfield Jr., MD
• Emily E Starman, DDS
• Garrett Starr, D.D.S.
• Dawn Marie Stavish, DDS
• STCH South Central MN Opco LLC
• Michelle Lee Stearns

• All providers in Mankato, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.