Individual provider Active NPI

Stacey Atkins, PHD, MSW, LMSW

  • Social Worker
  • Uniontown, OH
National Provider Identifier
1154100170
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2512077 Issued in OH
Practice address
3730 Tabs Dr
Uniontown, OH 44685-9562
Phone
(330) 595-2039
NPI assigned
Sep 28, 2023
Last updated
Jun 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0903003592 VA
Social Worker 104100000X S.2512077 OH Primary
School Social Worker 1041S0200X S.2512077 OH

Addresses

Primary practice location

3730 Tabs Dr
Uniontown, OH 44685-9562

Mailing address

2685 Armstrong Rd
Wooster, OH 44691-9041
Phone (330) 345-7949

Other practice location 1

10 E Leigh St
Richmond, VA 23219-1306
Phone (804) 914-1392 ext. 3010

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0903003592VAMDSocial Worker
S.2512077OHMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Children's Home of Ohio CurrentSince Jun 8, 2025 Accepting new patients
Christian Children's Home of Ohio CurrentSince Jun 8, 2025 Accepting new patients
Epic Health Partners, LLC PastSince Oct 1, 2023 Accepting new patients

Locations

2685 Armstrong Rd
Wooster, OH 44691
Phone (330) 345-7949

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cchoo/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1154100170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 ARMSTRONG RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919041",
            "telephone_number": "330-345-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 TABS DR",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859562",
            "telephone_number": "330-595-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 E Leigh St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191306",
            "country_code": "US",
            "telephone_number": "804-914-1392 x3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "PHD, MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903003592",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2512077",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "S.2512077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.