Andrea Stucky, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

362395-3501 Issued in UT

Practice address

3776 Wall Ave
Ogden, UT 84405-7103

Phone

(385) 333-5339

NPI assigned

Nov 29, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1457821720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 N 725 W",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840156640",
            "telephone_number": "801-995-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 WALL AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057103",
            "telephone_number": "385-333-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKY",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "362395-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Shawn Stringham, LMFT
• Danette Stuart, PA
• Mari R Stuart, CNM, WHNP
• Nelle M Stuart, LCSW
• Elyssa Stubblefield, LCSW
• Earl Wesley Stuker, D.O.
• Alex Suarez, LCSW
• Sawyer Sudweeks
• Trent Suggs, M.D.
• Inger Alice Camille Sullenger, RN

• Clinical Social Worker in Ogden, UT
• Providers in Ogden, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.