Megan Stahly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34008409A Issued in IN

Practice address

827 W 14TH CT
Bloomington, IN 47404-3347

Phone

(812) 339-3429

NPI assigned

Mar 26, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1144857301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 S BROWNING PL",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019472",
            "telephone_number": "812-679-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W 14TH CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043347",
            "telephone_number": "812-339-3429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3322 S Browning Pl",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474019472",
            "country_code": "US",
            "telephone_number": "812-679-9149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474083503",
            "country_code": "US",
            "telephone_number": "812-727-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHLY",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008409A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gabriela Nicole Stanley, APRN-PMHNP
• Matthew L Stanley, LMHC
• Samantha Stanley, RBT
• Hope Stansberry, RBT
• Starr Oral & Maxillofacial Surgery, LLC (Starr Oral Surgery, LLC)

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.