Individual provider Active NPI

Heather Ashley Stample, LCSW

  • Social Worker
  • Yorkville, IL
National Provider Identifier
1356091979
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
149029591 Issued in IL
Practice address
691 N Bridge St
Yorkville, IL 60560-1311
Phone
(630) 745-8506
NPI assigned
Mar 26, 2022
Sex
Female
Sole proprietor
No

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149029591ILMDSocial Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 149029591 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

691 N Bridge St
Yorkville, IL 60560-1311

Mailing address

180 Dorset Ave
Oswego, IL 60543-6054
Phone (630) 745-8506

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2025.

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1356091979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 DORSET AVE",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605436054",
            "telephone_number": "630-745-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 N BRIDGE ST",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601311",
            "telephone_number": "630-745-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPLE",
        "first_name": "HEATHER",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149029591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

Verify at the official NPI Registry.