Anthony Stanisci, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-15247 Issued in AZ

Practice address

5613 N Bronco LN
Prescott Valley, AZ 86314-5856

Phone

(928) 277-0686

NPI assigned

Feb 24, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1285026484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 N BRONCO LN",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863145856",
            "telephone_number": "928-277-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 N BRONCO LN",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863145856",
            "telephone_number": "928-277-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANISCI",
        "first_name": "ANTHONY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-15247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice McGregor Sparks, RN
• Spectrum Healthcare Group, Inc.
• Clayton James Squire, RPH
• Alison A. Stambaugh, LMSW
• Lee Thomas Stamper, PHARMD
• Ivy K Stearman, FNP, CNM
• Michelle Steck, LMSW
• Beth Ann Steveson, RN
• Preston Stoddard, PHARMD
• Anne Stone, RN

• Clinical Social Worker in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.

Verify at the official NPI Registry.