Active NPI
Stacie Lynn Singh, LCSW
- Clinical Social Worker
- Colton, CA
National Provider Identifier
1124266085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61383
- Practice address
- 791 N Pepper Ave
Colton, CA 92324-1800 - Phone
- (909) 824-0480
- NPI assigned
- Jan 30, 2009
- Reactivated
- Dec 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 61383 | CA | Primary |
Addresses
Primary practice location
791 N Pepper Ave
Colton, CA 92324-1800
Mailing address
791 N Pepper Ave
Colton, CA 92324-1800
Phone (909) 824-0480
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients | |
| Stacie Aragon | Clinical | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colton, CA
- NPI 1386765345
-
- Clinical Social Worker
- Corona, CA
- NPI 1841738523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1124266085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241800",
"telephone_number": "909-824-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241800",
"telephone_number": "909-824-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "STACIE",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"deactivation_date": "2012-04-13",
"reactivation_date": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "61383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.