Active NPI
Barbara Fulton Stallard, LCSW
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1679796767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3248
- Practice address
- 4242 Allmond Ave
Louisville, KY 40209-1202 - Phone
- (502) 424-8509
- NPI assigned
- Apr 10, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3248 | KY | Primary |
Addresses
Primary practice location
4242 Allmond Ave
Louisville, KY 40209-1202
Mailing address
4242 Allmond Ave
Louisville, KY 40209-1202
Phone (502) 424-8509
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100390110 | Medicaid | KY | |
| 1211515 | Other | KY | CAQH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3248 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1679796767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4242 ALLMOND AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402091202",
"telephone_number": "502-424-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 ALLMOND AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402091202",
"telephone_number": "502-424-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLARD",
"first_name": "BARBARA",
"middle_name": "FULTON",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100390110",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "1211515",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.