Stacy Beth Adler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW3628 Issued in AZ

Practice address

1237 S Val Vista Dr
Ste 114
Mesa, AZ 85204-6401

Phone

(480) 776-3368

Fax

(480) 396-0532

NPI assigned

Sep 15, 2006

Last updated

Nov 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Clinical Social Worker

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anderson Psychological AssociatesGroup PAC ID 0941515811, 10 clinicians

Applied Mental Health Services LLCGroup PAC ID 1850895228, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anderson Psychological Associates

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1154704369
  Medicare reassignment Care Compare group NPD
• Applied Mental Health Services LLC

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1881576163
  Medicare reassignment Care Compare group NPD
• River of Life Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1033414222
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1568568830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 S VAL VISTA DR # 214",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046401",
            "telephone_number": "480-776-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 S VAL VISTA DR",
            "address_2": "STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046401",
            "telephone_number": "480-776-3368",
            "fax_number": "480-396-0532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 S COTTONWOOD DR",
            "address_purpose": "LOCATION",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823040",
            "country_code": "US",
            "telephone_number": "480-718-0568",
            "fax_number": "480-999-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADLER",
        "first_name": "STACY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW3628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Adelman, P.A.
• Hassan Aden
• Abibat Adenike Adeoye
• Kurt William Adkins
• Lauren Adkins, LAMFT
• Adobe Care and Wellness LLC
• Adobe Casita Home Care LLC
• Adobe E.N.T. & Allergy
• Adobe Medical Group Corp
• Enoch Adomako, NP

• Clinical Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.