Active NPI
Marian Grace Stuckey, MSW LSW
- Clinical Social Worker
- Dublin, OH
National Provider Identifier
1376990697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 51440455
- Practice address
- 299 Cramer Creek CT
Dublin, OH 43017-2586 - Phone
- (614) 889-5722
- Fax
- (614) 457-7896
- NPI assigned
- May 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 51440455 | Primary |
Addresses
Primary practice location
299 Cramer Creek CT
Dublin, OH 43017-2586
Mailing address
1560 Fishinger Road
Columbus, OH 43221-2108
Phone (614) 457-7876
Other practice location 1
1468 Brice Rd Ste A2
Reynoldsburg, OH 43068
Phone (740) 824-0334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindshift Counseling and Consulting | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Reynoldsburg, OH
- NPI 1396492971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1376990697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 FISHINGER ROAD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432212108",
"telephone_number": "614-457-7876",
"fax_number": "614-457-7896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 CRAMER CREEK CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172586",
"telephone_number": "614-889-5722",
"fax_number": "614-457-7896"
}
],
"practiceLocations": [
{
"address_1": "1468 Brice Rd Ste A2",
"address_purpose": "LOCATION",
"city": "Reynoldsburg",
"state": "OH",
"postal_code": "43068",
"country_code": "US",
"telephone_number": "740-824-0334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUCKEY",
"first_name": "MARIAN",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "MSW LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2022-02-28",
"certification_date": "2022-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "51440455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.