Active NPI
Edie Laine Stone, ACSW
- Clinical Social Worker
- Merced, CA
National Provider Identifier
1255485751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 36992
- Practice address
- 936 West Main St.
Merced, CA 95340 - Phone
- (209) 383-5200
- Fax
- (209) 383-5700
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Waterford, CA
- NPI 1528433588
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1649099151
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1023650066
-
- Federally Qualified Health Center (FQHC)
- Hilmar, CA
- NPI 1124300207
-
- Federally Qualified Health Center (FQHC)
- Livingston, CA
- NPI 1487012779
-
- Federally Qualified Health Center (FQHC)
- Hughson, CA
- NPI 1508408550
-
- Federally Qualified Health Center (FQHC)
- Delhi, CA
- NPI 1730530254
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1760191811
-
- Federally Qualified Health Center (FQHC)
- Merced, CA
- NPI 1891549846
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Livingston Community Health
Practice addresses (Care Compare)
600 B St
Livingston, CA 95334-9593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191112001704 | CA | Practitioner - Clinical Social Worker | 3971770272 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00041301 | WA | MD | Mental Health Counselor |
| 4874-LCSW | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumira Healthcare | Current | Accepting new patients | |
| Lumira Healthcare | Current | Accepting new patients | |
| Lumira Healthcare | Current | Accepting new patients |
Locations
600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500
1140 Main St
Livingston, CA 95334
Phone (209) 394-7913
1617 Main St
Livingston, CA 95334
Phone (209) 394-7913
12619 Bentley St
Waterford, CA 95386
Phone (209) 442-6200
Interoperability endpoints
- edie.stone.p3@direct.livingstoncommunity.nextgenshare.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00041301 | WA | |
| Clinical Social Worker | 1041C0700X | 4874-LCSW | OR | |
| Clinical Social Worker | 1041C0700X | 36992 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
936 West Main St.
Merced, CA 95340
Mailing address
936 West Main St.
Merced, CA 95340
Phone (209) 383-5200
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600646725 | Medicaid | OR | |
| R162174 | Other | OR | MEDICARE PTAN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2014.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1255485751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 WEST MAIN ST.",
"city": "MERCED",
"state": "CA",
"postal_code": "95340",
"telephone_number": "209-383-5200",
"fax_number": "209-383-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 WEST MAIN ST.",
"city": "MERCED",
"state": "CA",
"postal_code": "95340",
"telephone_number": "209-383-5200",
"fax_number": "209-383-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "EDIE",
"middle_name": "LAINE",
"name_prefix": "Ms.",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00041301",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "4874-LCSW",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "36992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600646725",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "R162174",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.