Stacie Sylvester, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

258729 Issued in KY

Practice address

120 W Stephen Foster Ave Ste 113
Bardstown, KY 40004-1457

Phone

(502) 350-7368

NPI assigned

Jun 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• R.E.a.C.H. Program LLC

  • Clinical Social Worker
  • Bardstown, KY
  • NPI 1265858864

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Advanced Family Medical Clinic Mount Vernon

  • Rural Health Clinic/Center
  • Somerset, KY
  • NPI 1578090403
  Medicare reassignment
• Family Dynamics Behavioral Health Care PLLC

  • Mental Health Counselor
  • Radcliff, KY
  • NPI 1013197078
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1265726145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE STE 113",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041457",
            "telephone_number": "502-350-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE STE 113",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041457",
            "telephone_number": "502-350-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "STACIE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1147",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate E Suire, CNM
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• Nicole Elizabeth Sullivan, D.C.
• Superior Scripts
• Swis Purchase, LLC
• Talk to Me Speech Therapy, LLC
• Kaitlin Lee Tate
• Angela M Taylor, OTR/L,CHT
• Arthur Revees Taylor, MS LCADC
• Barbara M Taylor, R.D.

• Clinical Social Worker in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.