Individual provider Active NPI

Angel Marie Stumler, LCSW

  • Clinical Social Worker
  • Highland Heights, KY
National Provider Identifier
1437816683
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253962 Issued in KY
Practice address
2816 Bluegrass Dr
Highland Heights, KY 41076-1577
Phone
(859) 635-0500
NPI assigned
Nov 23, 2021
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 253962 KY Primary

Addresses

Primary practice location

2816 Bluegrass Dr
Highland Heights, KY 41076-1577

Mailing address

2816 Bluegrass Dr
Highland Heights, KY 41076-1577

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.hollyhill-ky.org

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
253962KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Hill Children's Home, Inc. CurrentSince Nov 10, 2024 Accepting new patients

Locations

2816 Bluegrass Dr
Highland Heights, KY 41076
Phone (859) 442-8500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1437816683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 BLUEGRASS DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410761577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 BLUEGRASS DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410761577",
            "telephone_number": "859-635-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMLER",
        "first_name": "ANGEL",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.hollyhill-ky.org",
            "affiliation": "N",
            "address_1": "2816 Bluegrass Dr",
            "city": "Highland Heights",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410761577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Heights, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.