Clare a. Stadlen, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003990 Issued in NC

Legal business name

CLARE A. STADLEN, LCSW, PLLC

Practice address

3622 Lyckan Pkwy
Suite 3002
Durham, NC 27707-2564

Phone

(919) 602-6766

NPI assigned

Aug 11, 2015

Last updated

Aug 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clare Andrea Stadlen, LCSWNPI 1730296922

Title

Licensed Psychotherapist

Phone

(919) 602-6766

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Martine Luntz

  • Clinical Psychologist
  • Durham, NC
  • NPI 1336505783
  NPPES parent name

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clare Andrea Stadlen, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
  • NPI 1730296922
  Medicare reassignment NPD Authorized official
• Rebecca Jewel Baker, MSW

  • Clinical Social Worker
  • Carrboro, NC
  • NPI 1184276594
  Medicare reassignment NPD
• Katherine Harris Hanson, MSW, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1992331904
  Medicare reassignment NPD
• Ana Maria Diaz, LCSW-A

  • Clinical Social Worker
  • Durham, NC
  • NPI 1205619913
  NPD (past)
• Margaret Dodd

  • Clinical Social Worker
  • Durham, NC
  • NPI 1477397271
  NPD (past)
• Jordyn Elizabeth Kathmann, LCSW-A

  • Clinical Social Worker
  • Durham, NC
  • NPI 1922842723
  NPD (past)
• Sydney Lane Mohnasky, LCSWA

  • Clinical Social Worker
  • Durham, NC
  • NPI 1164101713
  NPD (past)

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1578939740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "SUITE 3002",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072564",
            "telephone_number": "919-602-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "SUITE 3002",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072564",
            "telephone_number": "919-602-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARE A. STADLEN, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "STADLEN",
        "authorized_official_first_name": "CLARE",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-602-6766",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7485",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2877131A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Ann Clabby, MD
• John Preston Claiborne, MD
• Carolina P Clancy, PH.D.
• Renn Deanna Clapp
• Clara P Davis, DDS, PLLC
• Glenda Clare, LCMHC, LPC
• Suzanne Clare, DC
• Clarity Co Counseling, PLLC
• Clark & Otero DDS PLLC (Oak Grove Dental)
• Clark & Otero DDS PLLC (Dental Center at Zebulon)

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.