Active NPI
Stacy Allender, LCSW
- Clinical Social Worker
- Vincennes, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008554A
- 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.
-
- Federally Qualified Health Center (FQHC)
- Vincennes, IN
- NPI 1174031256
IN
-
- Federally Qualified Health Center (FQHC)
- Washington, IN
- NPI 1063302545
-
- Methadone Clinic
- Vincennes, IN
- NPI 1265053854
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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34008554A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Center, Inc. | Current | Accepting new patients | |
| Good Samaritan Family Health Center, Inc | Current | Accepting new patients | |
| Sowing Seeds Therapy PLLC | Clinical | Current | Accepting new patients |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Good Samaritan Family Health Center, Inc. | Current | Accepting new patients | |
| Hamilton Center Inc. | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 34008554A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.