Individual provider Active NPI

Edie Laine Stone, ACSW

  • Clinical Social Worker
  • Merced, CA
National Provider Identifier
1255485751
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
36992 Issued in CA
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.

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 21 clinicians

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20191112001704 CA Practitioner - Clinical Social Worker 3971770272 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RC00041301WAMDMental Health Counselor
4874-LCSWORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lumira Healthcare CurrentSince Sep 8, 2019 Accepting new patients
Lumira Healthcare Current Accepting new patients
Lumira Healthcare CurrentSince Sep 8, 2019 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

  • Direct secure messaging: edie.stone.p3@direct.livingstoncommunity.nextgenshare.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RC00041301 WA
Clinical Social Worker 1041C0700X 4874-LCSW OR
Clinical Social Worker 1041C0700X 36992 CA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
600646725MedicaidOR
R162174OtherORMEDICARE 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

Verify at the official NPI Registry.