Individual provider Active NPI

Stacy Allender, LCSW

  • Clinical Social Worker
  • Vincennes, IN
National Provider Identifier
1407303530
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008554A Issued in IN
Practice address
300 N 1St St
Vincennes, IN 47591-1252
Phone
(812) 885-2718
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1120 Judy Ave
Bridgeport, IL 62417-1305
Phone (217) 766-4552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20190715000951 IN Practitioner - Clinical Social Worker 0547595480 Reassigns benefits to 3 organizations
I20241025003449 IL Practitioner - Clinical Social Worker 0547595480 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008554AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Center, Inc. CurrentSince Jun 18, 2019 Accepting new patients
Good Samaritan Family Health Center, Inc CurrentSince Jul 1, 2023 Accepting new patients
Sowing Seeds Therapy PLLC Clinical CurrentSince Aug 12, 2024 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Oct 13, 2022 Accepting new patients
Good Samaritan Family Health Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Hamilton Center Inc. CurrentSince Jun 18, 2019 Accepting new patients

Locations

567 Church St
Bridgeport, IL 62417
Phone (217) 766-4552

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200

300 N 1st St
Vincennes, IN 47591
Phone (812) 494-9510

1027 Washington Ave
Vincennes, IN 47591
Phone (812) 494-7500

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

515 Bayou St
Vincennes, IN 47591
Phone (812) 886-0907

2007 State St
Washington, IN 47501
Phone (812) 254-1558

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 34008554A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

300 N 1St St
Vincennes, IN 47591-1252

Mailing address

1160 E Saint Clair St
Vincennes, IN 47591-4853
Phone (812) 885-8763

Other practice location 1

620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200

Other practice location 2

2007 State St
Washington, IN 47501-8505
Phone (812) 254-1558

Other practice location 3

1027 Washington Ave
Vincennes, IN 47591-2240
Phone (812) 494-7500

Other practice location 4

121 Buntin St
Vincennes, IN 47591-1320
Phone (812) 885-2718

Other names 1

NPPES NPI Registry
  • Stacy Webber Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2023.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1407303530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E SAINT CLAIR ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914853",
            "telephone_number": "812-885-8763",
            "fax_number": "812-885-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 1ST ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911252",
            "telephone_number": "812-885-2718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "47804",
            "country_code": "US",
            "telephone_number": "812-231-8200",
            "fax_number": "812-231-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2007 State St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "475018505",
            "country_code": "US",
            "telephone_number": "812-254-1558",
            "fax_number": "812-254-8308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475912240",
            "country_code": "US",
            "telephone_number": "812-494-7500",
            "fax_number": "812-494-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Buntin St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911320",
            "country_code": "US",
            "telephone_number": "812-885-2718",
            "fax_number": "812-885-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLENDER",
        "first_name": "STACY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008554A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "WEBBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.