Individual provider Active NPI

Stacey May, LCSW

  • Clinical Social Worker
  • Noblesville, IN
National Provider Identifier
1538835335
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009387A Issued in IN
Practice address
10 S 9TH St Ste 8
Noblesville, IN 46060-2631
Phone
(317) 207-9694
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34009387A IN Primary

Addresses

Primary practice location

10 S 9TH St Ste 8
Noblesville, IN 46060-2631

Mailing address

1575 Dr Martin Luther King Jr St
Indianapolis, IN 46202-2295
Phone (317) 644-7243

Other names 1

  • Stacey McKibbin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20211027001633 IN Practitioner - Clinical Social Worker 6901294768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Nov 1, 2021 Accepting new patients
Children's Bureau, Inc. CurrentSince Aug 28, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

13121 Olio Rd
Ste 300
Fishers, IN 46037
Phone (317) 621-1300

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

2240 N Meridian St
Indianapolis, IN 46208
Phone (317) 634-6341

1575 Dr Martin Luther King Jr St
Indianapolis, IN 46202
Phone (317) 264-2700

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1538835335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 DR MARTIN LUTHER KING JR ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022295",
            "telephone_number": "317-644-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S 9TH ST STE 8",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602631",
            "telephone_number": "317-207-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "STACEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009387A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "MCKIBBIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.