Active NPI
Stacy Fielder, LCSW
- Clinical Social Worker
- Huntington Beach, CA
National Provider Identifier
1629283767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18558
- Practice address
- 16052 Beach Blvd
Suite #212
Huntington Beach, CA 92647-3801 - Phone
- (714) 335-7226
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18558 | CA | Primary |
Addresses
Primary practice location
16052 Beach Blvd
Suite #212
Huntington Beach, CA 92647-3801
Mailing address
16052 Beach Blvd
Suite #212
Huntington Beach, CA 92647-3801
Phone (714) 335-7226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150916000679 | CA | Practitioner - Clinical Social Worker | 3274840764 | Practice locations: Huntington Beach, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18558 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1629283767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16052 BEACH BLVD",
"address_2": "SUITE #212",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473801",
"telephone_number": "714-335-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16052 BEACH BLVD",
"address_2": "SUITE #212",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473801",
"telephone_number": "714-335-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDER",
"first_name": "STACY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "18558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.