Individual provider Active NPI

Stacy L. Trostler, LISW-S

  • Social Worker
  • Beachwood, OH
National Provider Identifier
1346513520
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.0005440 Issued in OH
Practice address
23250 Chagrin Blvd
Suite 425
Beachwood, OH 44122-5470
Phone
(216) 464-4243
Fax
(216) 595-8210
NPI assigned
Feb 17, 2012
Reactivated
Apr 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.0005440 OH Primary

Addresses

Primary practice location

23250 Chagrin Blvd
Suite 425
Beachwood, OH 44122-5470

Mailing address

23250 Chagrin Blvd
Suite 425
Beachwood, OH 44122-5470
Phone (216) 464-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20260604000853 OH Practitioner - Clinical Social Worker 9638640204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

842 Corporate Way
Suite 850
Westlake, OH 44145-1559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0005440OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen F. Casper, PH.D. and Associates Social Worker Past Accepting new patients
Laurelwood Associates Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1346513520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "SUITE 425",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "216-464-4243",
            "fax_number": "216-595-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "SUITE 425",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "216-464-4243",
            "fax_number": "216-595-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROSTLER",
        "first_name": "STACY",
        "middle_name": "L.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-04-13",
        "deactivation_date": "2012-03-30",
        "reactivation_date": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0005440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.