Organization Active NPI

Andy Stuck PH.D Lisw LLC

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1285057802
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LISW-S 007474 Issued in OH
Legal business name
ANDY STUCK PH.D LISW LLC
Practice address
870 High St
Suite 14
Worthington, OH 43085-4139
Phone
(614) 785-1223
Fax
(614) 785-1323
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Ms. Andrea Florence Stuck, LISW-S
Title
Owenr Psychotherapist
Phone
(614) 785-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LISW-S 007474 OH Primary

Addresses

Primary practice location

870 High St
Suite 14
Worthington, OH 43085-4139

Mailing address

870 High St
Suite 14
Worthington, OH 43085-4139
Phone (614) 785-1223

National Provider Directory

National Provider Directory

Locations

870 High St
Ste 14
Worthington, OH 43085
Phone (614) 657-8434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1285057802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 HIGH ST",
            "address_2": "SUITE 14",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854139",
            "telephone_number": "614-785-1223",
            "fax_number": "614-785-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 HIGH ST",
            "address_2": "SUITE 14",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854139",
            "telephone_number": "614-785-1223",
            "fax_number": "614-785-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY STUCK PH.D LISW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "STUCK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "FLORENCE",
        "authorized_official_title_or_position": "OWENR PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "614-785-1223",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "LISW-S 007474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.