Individual provider Active NPI

Stacey Hostetter, LCSW

  • Clinical Social Worker
  • Lincolnton, NC
National Provider Identifier
1558766584
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011433 Issued in NC
Practice address
311 McBee St
Lincolnton, NC 28092-2818
Phone
(704) 748-6113
Fax
(704) 735-1924
NPI assigned
Nov 4, 2014
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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 C011433 NC Primary

Addresses

Primary practice location

311 McBee St
Lincolnton, NC 28092-2818

Mailing address

350 Pee Dee Ave Ste 101
Albemarle, NC 28001-4945
Phone (704) 986-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170816002542 CO Practitioner - Clinical Social Worker 6608148283 Reassigns benefits to 1 organization
I20190411001670 NC Practitioner - Clinical Social Worker 6608148283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 6TH St
Suite 301E
Castle Rock, CO 80104-1731
Phone (720) 515-4710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch CurrentSince Mar 11, 2019 Accepting new patients
Light & Lotus Wellness PLLC Clinical CurrentSince Dec 7, 2023 Accepting new patients
Monarch Current Accepting new patients
Miracles Healing Centers Inc CurrentSince Sep 3, 2019 Accepting new patients
Monarch CurrentSince Mar 11, 2019 Accepting new patients

Locations

202 6th St
Ste 301E
Castle Rock, CO 80104
Phone (720) 515-4710

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

7480 Waterside Loop Rd
Ste 204
Denver, NC 28037
Phone (704) 483-3783

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

311 McBee St
Lincolnton, NC 28092
Phone (704) 735-4357

111 Kilson Dr
Ste 201
Mooresville, NC 28117
Phone (704) 444-0999

Organizations & group practices 5

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": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1558766584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PEE DEE AVE STE 101",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014945",
            "telephone_number": "704-986-1500",
            "fax_number": "866-404-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MCBEE ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922818",
            "telephone_number": "704-748-6113",
            "fax_number": "704-735-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETTER",
        "first_name": "STACEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

Verify at the official NPI Registry.