Active NPI
Stacy Zugg, LCSW
- Clinical Social Worker
- Midland, TX
National Provider Identifier
1194939108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21334
- Practice address
- 2500 Delano Ave
Midland, TX 79701-6357 - Phone
- (432) 697-4747
- Fax
- (432) 699-3813
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 21334 | TX | Primary |
Addresses
Primary practice location
2500 Delano Ave
Midland, TX 79701-6357
Mailing address
PO Box 5576
Midland, TX 79704-5576
Phone (432) 570-0238
Other names 1
- Shelly Zugg
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194939108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5576",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797045576",
"telephone_number": "432-570-0238",
"fax_number": "432-699-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 DELANO AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797016357",
"telephone_number": "432-697-4747",
"fax_number": "432-699-3813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUGG",
"first_name": "STACY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "21334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLY",
"last_name": "ZUGG",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.