Risa Stutz, MSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.017237 Issued in IL

Practice address

1301 Enterprise Way Ste 44
Marion, IL 62959-4442

Phone

(270) 210-9280

Fax

(270) 210-9280

NPI assigned

May 23, 2013

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285071712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1701",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629597901",
            "telephone_number": "270-210-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ENTERPRISE WAY STE 44",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594442",
            "telephone_number": "270-210-9280",
            "fax_number": "270-210-9280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 W Main St",
            "address_purpose": "LOCATION",
            "city": "West Frankfort",
            "state": "IL",
            "postal_code": "628962210",
            "country_code": "US",
            "telephone_number": "618-937-6483 x7626",
            "fax_number": "618-937-1440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUTZ",
        "first_name": "RISA",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Briana Stram
• Lisa Anne Stroh
• Amber Lynn Stull
• Jennie L Stults
• John Stultz, BA
• NA Su, M.D., PH.D.
• Lesa Jan Suits
• Miranda L Sullivan
• Emily Sumner, OTR
• Sunshine Gardens Nursing & Rehab LLC

• Clinical Social Worker in Marion, IL
• Providers in Marion, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.