NPIMap

Organization Active NPI

Stacie Raltiff, LCSW-C

  • Social Worker
  • Clarksburg, MD
National Provider Identifier
1679188338
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
STACIE RALTIFF, LCSW-C
Practice address
23806 Bennett Chase Dr
Clarksburg, MD 20871-5316
Phone
(301) 639-4180
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Stacie Ratliff, LCSW-CNPI 1134206485
Title
Owner
Phone
(301) 639-4180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

23806 Bennett Chase Dr
Clarksburg, MD 20871-5316

Mailing address

23806 Bennett Chase Dr
Clarksburg, MD 20871-5316
Phone (301) 639-4180

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1679188338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23806 BENNETT CHASE DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208715316",
            "telephone_number": "301-639-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23806 BENNETT CHASE DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208715316",
            "telephone_number": "301-639-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACIE RALTIFF, LCSW-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-639-4180",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.