David Stackhouse Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00844700 Issued in NJ

Legal business name

DAVID STACKHOUSE INC

Practice address

101 Main St
Sparta, NJ 07871-1930

Phone

(973) 886-9701

Fax

(973) 729-4611

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. David Ray StackhouseNPI 1619038502

Title

President

Phone

(973) 886-9701

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Ray Stackhouse, LCSW

  • Clinical Social Worker
  • Denville, NJ
  • NPI 1619038502

  Clinical, NJ

  Medicare reassignment NPD Authorized official
• Laura Jean Nowak, LCSW

  • Social Worker
  • Boonton, NJ
  • NPI 1619029261
  NPD (past)
• Bonnie Joy Stackhouse, LCSW

  • Clinical Social Worker
  • Sparta, NJ
  • NPI 1639584667

  Clinical

  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1467736728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078710481",
            "telephone_number": "973-886-9701",
            "fax_number": "973-729-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711930",
            "telephone_number": "973-886-9701",
            "fax_number": "973-729-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID STACKHOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "STACKHOUSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-886-9701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00844700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lasonya Cuylear
• Marie Ann Czaplicki-Margiotti, M.D.
• Joanna Maxine D'Agosta, LCSW
• Caryn Dambra
• Peter A Davanzo, MD
• Dawn Center for Independent Living, Inc.
• Skyler Marie Deblasio, PHARMD
• Tatiana Josephine Defrance
• Shirley Ann Deknegt Kuzik
• Angela Renee Delong

• All providers in Sparta, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.