Individual provider Active NPI

Staci C Alley, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1174145247
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0009924447 Issued in CO
Practice address
7550 W Yale Ave
B-210-3
Denver, CO 80227-3465
Phone
(720) 472-1149
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 0009924447 CO Primary

Addresses

Primary practice location

7550 W Yale Ave
B-210-3
Denver, CO 80227-3465

Mailing address

7550 W Yale Ave
B-210-3
Denver, CO 80227-3465
Phone (720) 472-1149

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

State licenses

LicenseStateTypeSpecialty
0009924447COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Behavioral & Supports, LLC CurrentSince May 11, 2025 Accepting new patients

Locations

7550 W Yale Ave
Ste B210-3
Denver, CO 80227
Phone (720) 472-1149

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1174145247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W YALE AVE",
            "address_2": "B-210-3",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802273465",
            "telephone_number": "720-472-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W YALE AVE",
            "address_2": "B-210-3",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802273465",
            "telephone_number": "720-472-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "STACI",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "0009924447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.