Marcia Louesa Stoll, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149003259 Issued in IL

Practice address

2663 Farragut Dr
Ste a
Springfield, IL 62704-1462

Phone

(217) 726-6300

Fax

(217) 679-5987

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1407998693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2663 FARRAGUT DR",
            "address_2": "STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041462",
            "telephone_number": "217-726-6300",
            "fax_number": "217-679-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2663 FARRAGUT DR",
            "address_2": "STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041462",
            "telephone_number": "217-726-6300",
            "fax_number": "217-679-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "MARCIA",
        "middle_name": "LOUESA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD PIN",
            "identifier": "00084321111",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PIN",
            "identifier": "107001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PIN",
            "identifier": "228367000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Still Waters Counseling Services, PLLC
• Stillwater Center for Wellness PC
• Lindsay D. Stine, MD
• Mark H. Stine, D.C.
• Theresa J Stoddard, OTDR/L
• Peter Martin Stoll, LAT, EMT-B
• Lucas B Stoller, PHARMD
• Ari Maxwell Stone, MD
• Erin Gabrielle Stone, MD
• Erin M Stone

• Clinical Social Worker in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.

Verify at the official NPI Registry.