Michelle Stammler, LCSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079597 Issued in IA

Practice address

12472 Lake Underhill Rd
PMB 514
Orlando, FL 32828-7144

Phone

(689) 710-3276

Fax

(855) 944-3420

NPI assigned

May 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 19, 2019 through Dec 19, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1124476767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12472 LAKE UNDERHILL RD STE 514",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287144",
            "telephone_number": "689-710-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12472 LAKE UNDERHILL RD",
            "address_2": "PMB 514",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287144",
            "telephone_number": "689-710-3276",
            "fax_number": "855-944-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMMLER",
        "first_name": "MICHELLE",
        "credential": "LCSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "079597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Staine
• Andrea Stair
• Alec C. Stall, MD, MPH
• Bronwyn Ruddy Stall, M.D.
• Kennedy Stallworth
• Eirene Stamos
• Diane Elisabeth Stamp, ARNP
• Anthoney Fitzgarold Stampp, DO
• Candace Stanaland
• Qasim Stanazai, M.D.

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.