Individual provider Active NPI

Stacie Ward, LCSW, MS

  • Mental Health Counselor
  • Seaford, DE
National Provider Identifier
1700323276
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
Q1-0001251 Issued in DE
Practice address
9707 Nanticoke Cir
Seaford, DE 19973-8641
Phone
(302) 536-9317
Fax
(302) 990-5376
NPI assigned
Jan 23, 2017
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Q1-0001251 DE
Addiction (Substance Use Disorder) Counselor 101YA0400X Q1-0001251 DE
Mental Health Counselor 101YM0800X Q1-0001251 DE Primary
Professional Counselor 101YP2500X Q1-0001251 DE
Social Worker 104100000X Q1-0001251 DE
Marriage & Family Therapist 106H00000X Q1-0001251 DE

Addresses

Primary practice location

9707 Nanticoke Cir
Seaford, DE 19973-8641

Mailing address

9707 Nanticoke Cir
Seaford, DE 19973-8641
Phone (302) 536-9317

Other identifiers 2

IdentifierTypeStateIssuer
1477981629OtherDEORGANIZATION NPI
2016606905OtherDEBUSINESS LICENSE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
Q1-0001251DEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Care Counseling CurrentSince Mar 1, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1700323276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 NANTICOKE CIR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199738641",
            "telephone_number": "302-536-9317",
            "fax_number": "302-990-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 NANTICOKE CIR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199738641",
            "telephone_number": "302-536-9317",
            "fax_number": "302-990-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "STACIE",
        "credential": "LCSW, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DE",
            "license": "Q1-0001251",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "Q1-0001251",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "Q1-0001251",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "Q1-0001251",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q1-0001251",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DE",
            "license": "Q1-0001251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1477981629",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "2016606905",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.