Tracey L Stute, LISW-S

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I0007998 Issued in OH

Practice address

15 E Pleasant St
Springfield, OH 45506-2201

Phone

(937) 325-5564

Fax

(937) 325-8727

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Mental Health Services for Clark Co Inc.

  • Psychiatric Hospital
  • Springfield, OH
  • NPI 1417948407

  Corporate Director

  CMS ownership

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.

• Wellspring

  • Mental Health Counselor
  • Springfield, OH
  • NPI 1003851411
  Medicare reassignment NPD
• Wellspring

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, OH
  • NPI 1912262619
  NPD

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1447372602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E PLEASANT ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455062201",
            "telephone_number": "937-325-5564",
            "fax_number": "937-325-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E PLEASANT ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455062201",
            "telephone_number": "937-325-5564",
            "fax_number": "937-325-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTE",
        "first_name": "TRACEY",
        "middle_name": "L",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0007998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Strodes, LSW
• Victoria Anne Stubblefield, PA-C
• Arthur Stubbs
• Rochell Stufflebeam
• Diane Denise Stupp, MSSA, LSW
• Ann Sulek
• Alayna Jade Sullivan
• Ashley Marie Summers, PTA
• Sunrise Treatment Center, LLC
• Suzanne R Sunshine, LISW-S

• Social Worker in Springfield, OH
• Providers in Springfield, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.