Active NPI
Stacie Watters
- Social Worker
- Independence, OH
National Provider Identifier
1609437177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 6200 Rockside Woods Blvd N
Independence, OH 44131-2333 - Phone
- (317) 979-1038
- NPI assigned
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
6200 Rockside Woods Blvd N
Independence, OH 44131-2333
Mailing address
1200 Country Club Dr
Zanesville, OH 43701-1443
Phone (317) 979-1038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muskingum Valley Health Centers | Past | Accepting new patients | |
| Pediatric Specialty Associates, Inc | Past | Accepting new patients | |
| Pediatric Specialty Associates, Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Coshocton, OH
- NPI 1902237084
-
- Early Intervention Provider Agency
- Indianapolis, IN
- NPI 1336212638
-
- Early Intervention Provider Agency
- Indianapolis, IN
- NPI 1346628492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1609437177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 COUNTRY CLUB DR",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011443",
"telephone_number": "317-979-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 ROCKSIDE WOODS BLVD N",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312333",
"telephone_number": "317-979-1038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTERS",
"first_name": "STACIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.