Individual provider Active NPI

Jessica Stoll, LCSW

  • Clinical Social Worker
  • Milford, DE
National Provider Identifier
1689133167
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012625 Issued in DE
Practice address
1129 Airport Rd
Milford, DE 19963-6418
Phone
(302) 422-8026
NPI assigned
Mar 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 093424 NY
Clinical Social Worker 1041C0700X Q1-0012625 DE Primary

Addresses

Primary practice location

1129 Airport Rd
Milford, DE 19963-6418

Mailing address

1129 Airport Rd
Milford, DE 19963-6418
Phone (302) 422-8026

Other practice location 1

14929 Channel Run
Ellendale, DE 19941-2768
Phone (516) 531-3753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220002378 DE Practitioner - Clinical Social Worker 1557896941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0012625DEMDClinical Social Worker
093424NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Oct 29, 2024 Accepting new patients
People'S Place II, Inc. CurrentSince Feb 17, 2026 Accepting new patients

Locations

1131 Airport Rd
Milford, DE 19963
Phone (302) 422-8026

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1689133167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 AIRPORT RD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199636418",
            "telephone_number": "302-422-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 AIRPORT RD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199636418",
            "telephone_number": "302-422-8026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14929 Channel Run",
            "address_purpose": "LOCATION",
            "city": "Ellendale",
            "state": "DE",
            "postal_code": "199412768",
            "country_code": "US",
            "telephone_number": "516-531-3753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLL",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093424",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.