Kellie R. Stallings

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17163 Issued in TX

Practice address

1414 W San Antonio
New Braunfels, TX 78130-6202

Phone

(830) 629-6571

Fax

(830) 608-1262

NPI assigned

Jun 24, 2008

Last updated

Jun 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Connections Individual and Family Services, Inc.

  dba Connections

  • Clinical Social Worker
  • New Braunfels, TX
  • NPI 1922031038
  NPD (past) Authorized official
• Eden Home, Inc.

  dba EdenHill Communities

  • Inpatient Hospice
  • New Braunfels, TX
  • NPI 1669127742
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1265693030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311268",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781311268",
            "telephone_number": "830-629-6571",
            "fax_number": "830-608-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W SAN ANTONIO",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306202",
            "telephone_number": "830-629-6571",
            "fax_number": "830-608-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "KELLIE",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "17163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406027-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Squires, OTD
• Emile Stahl, PMHNP
• Lynda Elaine Stahl, LPC-I, NCC
• Stephen George Stahr, M.D.
• Chyrissa Rosanna Staley, F.N.P.
• John Wesley Stamps, D.C.,P.A.
• Star Sleep Medical Group PLLC
• David W Starch, MD
• Starlite Recovery Center, LLC (Starlite Recovery Center)
• Mark Douglas Statler, M.D.

• Clinical Social Worker in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.