Individual provider Active NPI

Stacey Stocks

  • Social Worker
  • Goodyear, AZ
National Provider Identifier
1558699843
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW13528 Issued in AZ
Practice address
2620 N 140TH Ave Ste 101
Goodyear, AZ 85395-2437
Phone
(623) 536-7956
Fax
(623) 536-9806
NPI assigned
Nov 24, 2009
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW13528 AZ Primary

Addresses

Primary practice location

2620 N 140TH Ave Ste 101
Goodyear, AZ 85395-2437

Mailing address

2620 N 140TH Ave Ste 101
Goodyear, AZ 85395-2437
Phone (223) 536-7956

Other practice location 1

2224 N Craycroft Rd Ste 100
Tucson, AZ 85712-2811
Phone (520) 209-1919

Other practice location 2

13925 W Meeker Blvd Ste 9
Sun City West, AZ 85375-4431
Phone (480) 780-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20120611000551 AZ Practitioner - Clinical Social Worker 5698939262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

1910 S Stapley Dr
Suite 209
Mesa, AZ 85204-6679
Phone (888) 362-5953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW13528AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Escalera Health LLC CurrentSince Mar 1, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Feb 6, 2025 Accepting new patients

Locations

1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020

13925 W Meeker Blvd
Ste 9
Sun City West, AZ 85375
Phone (480) 780-3030

2224 N Craycroft Rd
Ste 100
Tucson, AZ 85712
Phone (520) 209-1919

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

6303 E Tanque Verde Rd
Ste 210
Tucson, AZ 85715
Phone (520) 423-5600

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1558699843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 N 140TH AVE STE 101",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952437",
            "telephone_number": "223-536-7956",
            "fax_number": "623-536-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N 140TH AVE STE 101",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952437",
            "telephone_number": "623-536-7956",
            "fax_number": "623-536-9806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2224 N Craycroft Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122811",
            "country_code": "US",
            "telephone_number": "520-209-1919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13925 W Meeker Blvd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853754431",
            "country_code": "US",
            "telephone_number": "480-780-3030",
            "fax_number": "480-780-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKS",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW13528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.