Individual provider Active NPI

Darlene C Stiffler, LCSW

  • Clinical Social Worker
  • Ballston Spa, NY
National Provider Identifier
1124107859
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070141 Issued in NY
Practice address
419 Geyser Rd
Ballston Spa, NY 12020-3022
Phone
(518) 587-8810
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 070141 NY Primary

Addresses

Primary practice location

419 Geyser Rd
Ballston Spa, NY 12020-3022

Mailing address

2249 Alexander Rd
Galway, NY 12074-2401
Phone (518) 882-1691

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
I20240322002072 AZ Practitioner - Clinical Social Worker 1951319169 Practice locations: Cottonwood, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

753 N Main St
Suite B6
Cottonwood, AZ 86326-3661
Phone (928) 274-8417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Logan LCSW LLC Clinical PastSince Feb 1, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124107859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 ALEXANDER RD",
            "city": "GALWAY",
            "state": "NY",
            "postal_code": "120742401",
            "telephone_number": "518-882-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 GEYSER RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203022",
            "telephone_number": "518-587-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIFFLER",
        "first_name": "DARLENE",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

Verify at the official NPI Registry.