Alyse Stukin, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24394 Issued in CA

Practice address

15301 Tyler Foote Rd
Nevada City, CA 95959-9318

Phone

(530) 292-3478

NPI assigned

May 25, 2012

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

Other names 1

• Alyse Stukin Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sierra Family Medical Clinic IncGroup PAC ID 8224192927, 7 clinicians

Western Sierra Medical Clinic IncGroup PAC ID 3971571217, shared by 4 NPIs, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alyse.stukin@wsmc1.eclinicaldirectplus.com

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.

• Last Frontier Healthcare District

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Medicare reassignment NPD
• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nevada City, CA
  • NPI 1316169618
  Care Compare group
• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nevada City, CA
  • NPI 1427827161
  NPD (past)

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1518227313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1938",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959591938",
            "telephone_number": "530-273-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 TYLER FOOTE RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599318",
            "telephone_number": "530-292-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKIN",
        "first_name": "ALYSE",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "STUKIN",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lindsay Noon Stoddard
• Ryan Allen Strasser, FF, EMT
• James A. Stratigakes, PHD
• Evan Strauss, MFT
• Faith Stroud
• Marianne Sullivan
• Brian Susmilch, RADT
• Walter T Swartz, RADT
• Mary Jo Sweeney
• Sweet Arrivals Midwifery

• Clinical Social Worker in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.