Stacey Lynn Case
Individual provider Active NPI Peer Specialist · Alturas, CA
NPI 1598445561 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1598445561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- MPSS-LHBTEV (CA)
- Practice address
- 441 N Main St
Alturas, CA 96101-3457 - Phone
- (530) 233-6312
- Fax
- (530) 233-6339
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-LHBTEV | CA | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-LHBTEV | CA | Yes |
Addresses
Primary practice location
441 N Main St
Alturas, CA 96101-3457
Mailing address
441 N Main St
Alturas, CA 96101-3457
Phone (530) 233-6312
Other providers in Alturas, CA
- Elayna Brown
- Robert David Buck
- Nyia Joanna Burnette
- Myriah Amberelle Busch
- Heather Marie Caldwell
- Ryan Christopher Ciantar
- Peggy Ann Clevinger
- Haley Ann Conger
- Carmen Marie Coronado
- County of Modoc
All providers in Alturas, CA · Peer Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.