Stacy Simera, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I-0008796 Issued in OH

Practice address

190 Currie Hall Pkwy
Kent, OH 44240-4312

Phone

(330) 673-5812

Fax

(330) 673-7162

NPI assigned

Aug 13, 2006

Last updated

Dec 13, 2013By the provider in NPPES

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

Enrolled in OH

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gary Robinson and Associates LLCGroup PAC ID 5799748919, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/summit-psychological/r4/

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.

• Gary Robinson & Associates LLC

  dba Kent Psychological Associates,LLC

  • Psychologist
  • Kent, OH
  • NPI 1740358902
  Medicare reassignment Care Compare group NPD
• Summit Psychological Associates, Inc.

  • Clinical Psychologist
  • Akron, OH
  • NPI 1114976701
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1548273675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CURRIE HALL PKWY",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404312",
            "telephone_number": "330-673-5812",
            "fax_number": "330-673-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CURRIE HALL PKWY",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404312",
            "telephone_number": "330-673-5812",
            "fax_number": "330-673-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMERA",
        "first_name": "STACY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I-0008796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliette B Shular Conrad, MANAGER CC
• Angela Jeanne Shumaker, CNP
• Annika Mychelle Shuster
• September Shy
• Elizabeth Sibbio
• Chinyu Y Simon, LSW
• Stephanie Simpkins
• Nathan Paul Sims, DDS
• Candace C Singleton
• Sydney Slagle

• Social Worker in Kent, OH
• Providers in Kent, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.