Stacy D White, CSW-PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3337 Issued in SD

Practice address

6810 S Lyncrest Ave Ste 201
Sioux Falls, SD 57108-2515

Phone

(605) 274-1119

NPI assigned

Aug 17, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Life Strategies Psychological Health Services, Inc

  • Clinical Psychologist
  • Sioux Falls, SD
  • NPI 1821026998
  NPD (past)

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

{
    "created_epoch": "1408233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408233600000",
    "number": "1457750317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 S LYNCREST AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082515",
            "telephone_number": "605-274-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 S LYNCREST AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082515",
            "telephone_number": "605-274-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STACY",
        "middle_name": "D",
        "credential": "CSW-PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-17",
        "last_updated": "2014-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "3337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Whisler, PA-C
• Jessica R White, M.D.
• Karah White, M.D.
• Kimberly Ann White, RN
• Kyle White, CNP
• Ty A White, MD
• Emily Marie Whiting, MS, ATC
• Jennifer Nicole Whiting, CRNA
• Sara Beth Whitley
• Jacob James Whitlock

• Clinical Social Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; 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.