Adelle S Stubblefield, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-34901 Issued in ID

Practice address

3 Roger LN
Elma, WA 98541-9504

Phone

(360) 747-7414

Fax

(360) 667-2666

NPI assigned

Sep 8, 2015

Last updated

May 14, 2025By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Adelle's Child and Family Services

  • Clinical Social Worker
  • Elma, WA
  • NPI 1700529609
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1508234550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985411329",
            "telephone_number": "360-747-7414",
            "fax_number": "360-667-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ROGER LN",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419504",
            "telephone_number": "360-747-7414",
            "fax_number": "360-667-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "ADELLE",
        "middle_name": "S",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-34901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508234550",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Sheron Sheehy
• Donna Marie Smith, PSYD
• Soul Centered Counseling
• Melody Lynn Starkey, CDP
• Joel Ronald Joseph Stewart, ARNP
• Karlynn Studley, MD
• Ashley M Taylor, ARNP
• Justin K. Taylor, N.M.D.
• Nicole Antonucci Taylor, ND
• Erika L. Thomas, LMP

• Social Worker in Elma, WA
• Providers in Elma, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.