Macayle Stucki

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

175 W 1400 N Ste a
Logan, UT 84341-6816

Phone

(435) 752-5302

NPI assigned

Aug 19, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• LDS Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Logan, UT
  • NPI 1801994132
  NPD (past)

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1609594290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 N 570 E",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843356733",
            "telephone_number": "435-760-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W 1400 N STE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416816",
            "telephone_number": "435-752-5302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 N 570 E",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "UT",
            "postal_code": "843356733",
            "country_code": "US",
            "telephone_number": "435-760-4922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKI",
        "first_name": "MACAYLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Stott, RN
• Jaron Andrew Stout, PHARMD
• Benjamin Ray Stowers, PA-C
• Douglas W Stromberg, PT
• Joseph Jay Stuart, MD
• Veronica Helen Sullivan
• Lindsay Summers
• Summit Counseling Services, Inc
• Summit Mental Health LLC
• Jason Sunderland

• Clinical Social Worker in Logan, UT
• Providers in Logan, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.