Darcy Stivland

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28711 Issued in MN

Practice address

105 New England PL Ste 150
Stillwater, MN 55082-2036

Phone

(651) 304-4117

Fax

(651) 342-2361

NPI assigned

Feb 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Family Support Services Inc.

  dba Sagent Behavioral Health

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1700342029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEW ENGLAND PL STE 150",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822036",
            "telephone_number": "651-304-4117",
            "fax_number": "651-342-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEW ENGLAND PL STE 150",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822036",
            "telephone_number": "651-304-4117",
            "fax_number": "651-342-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVLAND",
        "first_name": "DARCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica C Stiles, MD
• Stillwater Family Chiropractic Center, Inc.
• Stillwater Medical Group
• Stillwater Medical Group
• Stillwater Natural Health Care Inc.
• Rodney Lawrence Stivland, LICSW
• Natalee Kay Stockdale, MA, ATRBC, LPCC, NCC
• Sarah Anne Stoddard, MS, RN, CNP
• Patrick R Stokes, MD
• Thomas James Stormont, M.D.

• Clinical Social Worker in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.